Dr Nickolas Evangelos Poulos, DO is a medicare enrolled "Dermatology" physician in Gunnison, Colorado. He graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Gunnison Valley Hospital and 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 | Dermatology |
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| Experience | 11 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 graduated from medical school in 2014
NPI Data:
- NPI Number: 1457766487
- Provider Enumeration Date: 06/28/2014
- Last Update Date: 06/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830482702
- Enrollment ID: I20181221001071
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 |
| 9000176165 | Medicaid | CO | |
| 029298 | Other | CO | KAISER COMMERCIAL NUMBER |
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Gunnison Valley Hospital | 8426040486 | 46 |
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 Nickolas Evangelos Poulos allows following entities to bill medicare on his behalf.
| Entity Name | Gunnison Valley Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932109048 PECOS PAC ID: 8426040486 Enrollment ID: O20040331000463 |
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| Entity Name | Global Dermatology, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134698103 PECOS PAC ID: 9739424656 Enrollment ID: O20181221000915 |
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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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