Austin Koliba, RD LD in Dallas, TX - Medicare Dietitian, Registered Provider

Austin Koliba, RD LD is a medicare enrolled "Dietitian, Registered" provider in Dallas, Texas. His current practice location is 5323 Harry Hines Blvd, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 648-3111.

Austin Koliba is licensed to practice in * (Not Available) (license number 86054556) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265151856.

Contact Information

	Austin Koliba, RD LD
	5323 Harry Hines Blvd, Dallas, TX 75390-6046
	(214) 648-3111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Austin Koliba
Gender	Male
Speciality	Dietitian, Registered
Location	5323 Harry Hines Blvd, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265151856
Provider Enumeration Date: 08/25/2022
Last Update Date: 12/31/2024

Medicare PECOS Information:

PECOS PAC ID: 1850829623
Enrollment ID: I20250107001703

Medical Identifiers

Medical identifiers for Austin Koliba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265151856	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DT85451 (Texas)	Secondary
133V00000X	Dietitian, Registered	86054556 (* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Austin Koliba allows following entities to bill medicare on his behalf.

Provider Name	University Of Texas Southwestern Medical Center At Dallas
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Austin Koliba is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Austin Koliba, RD LD 5323 Harry Hines Blvd, Dallas, TX 75390-6046 Ph: (214) 455-8179	Austin Koliba, RD LD 5323 Harry Hines Blvd, Dallas, TX 75390-6046 Ph: (214) 648-3111

Reviews and Comments

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Austin Koliba, RD LD - Medicare Dietitian in Dallas, TX