Dr Kris R Kaulback, MD - Medicare Critical Care (intensivists) in Philadelphia, PA

Dr Kris R Kaulback, MD is a medicare enrolled "Surgery" physician in Philadelphia, Pennsylvania. He went to Hahnemann University College Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Main Line Healthcare and his current practice location is 1100 Walnut St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 955-6750.

Dr Kris R Kaulback is licensed to practice in Pennsylvania (license number MD060588L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245250943.

Contact Information

Dr Kris R Kaulback, MD
1100 Walnut St,
Philadelphia, PA 19107-5563
(215) 955-6750
(215) 923-8222

Map and Direction




Physician's Profile

Full NameDr Kris R Kaulback
GenderMale
SpecialityCritical Care (intensivists)
Experience30 Years
Location1100 Walnut St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kris R Kaulback attended and graduated from Hahnemann University College Of Medicine in 1994
  NPI Data:
  • NPI Number: 1245250943
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 05/31/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4688639438
  • Enrollment ID: I20041122000471

Medical Identifiers

Medical identifiers for Dr Kris R Kaulback such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245250943NPI-NPPES
001793933MedicaidPA
8168903MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD060588L (Pennsylvania)Primary
2086S0102XSurgery - Surgical Critical Care MD060588L (Pennsylvania)Secondary
2086S0127XSurgery - Trauma Surgery MD060588L (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Paoli HospitalPaoli, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Main Line Healthcare1951215201894

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. Dr Kris R Kaulback allows following entities to bill medicare on his behalf.
Entity NameJefferson University Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326093675
PECOS PAC ID: 7911819180
Enrollment ID: O20040225000232
Entity NameMain Line Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922077643
PECOS PAC ID: 1951215201
Enrollment ID: O20040308000373

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. Dr Kris R Kaulback 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 AddressPractice Location Address
Dr Kris R Kaulback, MD
615 Chestnut St, 14th Floor,
Philadelphia, PA 19106-4404

Ph: () -
Dr Kris R Kaulback, MD
1100 Walnut St,
Philadelphia, PA 19107-5563

Ph: (215) 955-6750

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.