Dr Nickolas Evangelos Poulos, DO is a medicare enrolled "Dermatology" physician in Gunnison, Colorado. His current practice location is
711 N Taylor St, Gunnison, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 641-9482.
Dr Nickolas Evangelos Poulos is licensed to practice in Colorado (license number DR.0059273) 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 1457766487.
Physician's Profile
Full Name | Dr Nickolas Evangelos Poulos |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 711 N Taylor St, Gunnison, Colorado |
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Accepts Medicare Assignments | Yes. 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 Nickolas Evangelos Poulos attended and graduated from in
NPI Data:
- NPI Number: 1457766487
- Provider Enumeration Date: 06/28/2014
- Last Update Date: 03/13/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Nickolas Evangelos Poulos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457766487 | NPI | - | NPPES |
029298 | Other | CO | KAISER COMMERCIAL NUMBER |
9000176165 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | OS13474 (Florida) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | DR.0059273 (Colorado) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | OS13474 (Florida) | Secondary |
207N00000X | Dermatology | DR.0059273 (Colorado) | Primary |
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 Nickolas Evangelos Poulos 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 |
Dr Nickolas Evangelos Poulos, DO 711 N Taylor St, Gunnison, CO 81230-2208 Ph: (970) 641-3927 | Dr Nickolas Evangelos Poulos, DO 711 N Taylor St, Gunnison, CO 81230-2208 Ph: (970) 641-9482 |
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