Dr Theodore C Koutlas, MD in Spokane, WA - Medicare Cardiac Surgery

Dr Theodore C Koutlas, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Spokane, Washington. He went to University Of Washington School Of Medicine and graduated in 1987 and has 38 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice Providence Health And Services-wa and his current practice location is 62 W 7th Ave Ste 110, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 456-0262.

Dr Theodore C Koutlas is licensed to practice in Washington (license number MD60367366) 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 1902898331.

Contact Information

	Dr Theodore C Koutlas, MD
	62 W 7th Ave Ste 110, Spokane, WA 99204-2321
	(509) 456-0262
	(509) 462-5059

Map and Direction

Physician's Profile

Full Name	Dr Theodore C Koutlas
Gender	Male
Speciality	Cardiac Surgery
Experience	38 Years
Location	62 W 7th Ave Ste 110, Spokane, Washington
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 Theodore C Koutlas attended and graduated from University Of Washington School Of Medicine in 1987

NPI Data:

NPI Number: 1902898331
Provider Enumeration Date: 08/22/2005
Last Update Date: 06/16/2021

Medicare PECOS Information:

PECOS PAC ID: 2961537659
Enrollment ID: I20140206001298

Medical Identifiers

Medical identifiers for Dr Theodore C Koutlas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902898331	NPI	-	NPPES
330004170	Other	NC	RAILROAD MEDICARE
8950281	Medicaid	NC
50281	Other	NC	BCBS NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	M-12098 (Idaho)	Secondary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	36754 (North Carolina)	Secondary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	MD60367366 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prov Sacred Hrt Med Ctr & Childs Hosp.	Spokane, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services-wa	7911069703	23

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 Theodore C Koutlas allows following entities to bill medicare on his behalf.

Entity Name	Kadlec Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035

Entity Name	Providence Health & Services-wa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538311287 PECOS PAC ID: 7911069703 Enrollment ID: O20090105000365

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 Theodore C Koutlas 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 Theodore C Koutlas, MD 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 Ph: (509) 456-0262	Dr Theodore C Koutlas, MD 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 Ph: (509) 456-0262

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Spokane, WA

Dr. Steven J. Nisco, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 Fax: 509-462-5059
Matthew Donavon Forrester, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 Fax: 509-462-5059
Dr. Branden R. Reynolds, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 Fax: 509-462-5059
Kai A Ihnken, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 122 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-462-6485 Fax: 509-462-5059
Dr. Neil K. Worrall, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 Fax: 509-462-5059
Justin Reeves, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262
Alexi Matousek, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 Fax: 509-462-5059

Dr Theodore C Koutlas, MD - Medicare Cardiac Surgery in Spokane, WA