George John Koullias, MD - Medicare Vascular Surgery in East Patchogue, NY

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George John Koullias, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in East Patchogue, New York. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Stony Brook Surgical Associates University Faculty Practice Corporati and his current practice location is 100 Hospital Rd, Suite 203, East Patchogue, New York. You can reach out to his office (for appointments etc.) via phone at (631) 438-5030.

George John Koullias is licensed to practice in Illinois (license number 036119605) 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 1992986509.

Contact Information

George John Koullias, MD
100 Hospital Rd, Suite 203,
East Patchogue, NY 11772-8809
(631) 438-5030
(631) 447-5954

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Physician's Profile

Full NameGeorge John Koullias
GenderMale
SpecialityVascular Surgery
Experience33 Years
Location100 Hospital Rd, East Patchogue, New York
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:
  • George John Koullias graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1992986509
  • Provider Enumeration Date: 11/26/2007
  • Last Update Date: 11/14/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7810072170
  • Enrollment ID: I20140613001134

Medical Identifiers

Medical identifiers for George John Koullias such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992986509NPI-NPPES
03619605OtherILIL LICENSE
039729OtherCTCT LICENSE
262079OtherNYMEDICAL BOARD-NY STATE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 036119605 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Suny/stony Brook University HospitalStony brook, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stony Brook Surgical Associates University Faculty Practice Corporati034514374994

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. George John Koullias allows following entities to bill medicare on his behalf.
Entity NameLong Island Community Hospital At Nyu Langone Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417232760
PECOS PAC ID: 9739090051
Enrollment ID: O20031218000695
Entity NameStony Brook Surgical Associates University Faculty Practice Corporati
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063468536
PECOS PAC ID: 0345143749
Enrollment ID: O20040202000318

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. George John Koullias 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
George John Koullias, MD
100 Hospital Rd, Suite 203,
East Patchogue, NY 11772-8809

Ph: (631) 438-5030		George John Koullias, MD
100 Hospital Rd, Suite 203,
East Patchogue, NY 11772-8809

Ph: (631) 438-5030

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in East Patchogue, NY

Richard B Rubenstein, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 250 Patchogue Yaphank Rd, Suite 5a, East Patchogue, NY 11772
Phone: 631-475-1013    Fax: 631-475-1092

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.