Dr Stephen Poulos, MD - Medicare Psychiatry & Neurology in Bonita Springs, FL

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Dr Stephen Poulos, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Bonita Springs, Florida. His current practice location is 3372 Woods Edge Cir Ste 101, Bonita Springs, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 799-7873.

Dr Stephen Poulos is licensed to practice in Florida (license number ME156827) 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 1922447960.

Contact Information

Dr Stephen Poulos, MD
3372 Woods Edge Cir Ste 101,
Bonita Springs, FL 34134-3436
(239) 799-7873
Not Available

Map and Direction




Physician's Profile

Full NameDr Stephen Poulos
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location3372 Woods Edge Cir Ste 101, Bonita Springs, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922447960
  • Provider Enumeration Date: 06/24/2013
  • Last Update Date: 09/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5698041978
  • Enrollment ID: I20190830002553

Medical Identifiers

Medical identifiers for Dr Stephen Poulos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922447960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MDST768 (Tennessee)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 35131835 (Ohio)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 11396A (Wyoming)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry ME156827 (Florida)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. Dr Stephen Poulos allows following entities to bill medicare on his behalf.
Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529
Entity NameDefiance Hospital Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629216684
PECOS PAC ID: 6305754557
Enrollment ID: O20040322000150
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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 Stephen 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 AddressPractice Location Address
Dr Stephen Poulos, MD
3372 Woods Edge Cir Ste 101,
Bonita Springs, FL 34134-3436

Ph: (239) 799-7873		Dr Stephen Poulos, MD
3372 Woods Edge Cir Ste 101,
Bonita Springs, FL 34134-3436

Ph: (239) 799-7873

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.