Douglas Koltun, MD in Oak Lawn, IL - Medicare Physical Medicine & Rehabilitation

Douglas Koltun, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Oak Lawn, Illinois. His current practice location is 4400 W 95th St Ste 306, Oak Lawn, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 684-5428.

Douglas Koltun is licensed to practice in Illinois (license number 036070752) 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 1326034828.

Contact Information

	Douglas Koltun, MD
	4400 W 95th St Ste 306, Oak Lawn, IL 60453-2659
	(708) 684-5428
	(708) 684-2079

Map and Direction

Physician's Profile

Full Name	Douglas Koltun
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	4400 W 95th St Ste 306, Oak Lawn, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326034828
Provider Enumeration Date: 09/21/2005
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 1759281496
Enrollment ID: I20041122000260

Medical Identifiers

Medical identifiers for Douglas Koltun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326034828	NPI	-	NPPES
036070752	Medicaid	IL
36354817305	Other	IL	ADVOCATE HLTH CENTERS ID
250002469	Other	IL	RAILROAD MEDICARE
01621490	Other	IL	BCBS PROVIDER ID
131667300	Other	IL	WORKERS COMPENSATION
47614	Other	IL	ADVOCATE HLTH PARTNERS ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	036070752 (Illinois)	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. Douglas Koltun allows following entities to bill medicare on his behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

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. Douglas Koltun 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
Douglas Koltun, MD 777 Oakmont Ln, Suite 1600, Westmont, IL 60559-5511 Ph: (630) 789-2550	Douglas Koltun, MD 4400 W 95th St Ste 306, Oak Lawn, IL 60453-2659 Ph: (708) 684-5428

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Oak Lawn, IL

Anterpreet Singh, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 306, Oak Lawn, IL 60453 Phone: 708-684-5428 Fax: 708-684-2079
Don Mathew, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-4431
Mahmoud Jallid Abdel, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 4400 W 95th St Ste 306, Oak Lawn, IL 60453 Phone: 708-684-5428 Fax: 708-684-2079
Ami Parekh Hampole, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 306, Oak Lawn, IL 60453 Phone: 708-684-5428
Shari S Ludwig, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Emg Lab, Room 042 South, Oak Lawn, IL 60453 Phone: 708-684-5428 Fax: 708-684-2079
Mr. Ashraf Ali Elkossei, PHYSICAL THERAPIST Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9215 S Tripp Ave, Oak Lawn, IL 60453 Phone: 708-989-8989

Douglas Koltun, MD - Medicare Physical Medicine & Rehabilitation in Oak Lawn, IL