Mallory Koula, MD in Missoula, MT - Medicare Family Medicine

Mallory Koula, MD is a medicare enrolled "Family Medicine" physician in Missoula, Montana. Her current practice location is 3075 N Reserve St Ste Q, Missoula, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 327-1850.

Mallory Koula is licensed to practice in Montana (license number MED-PHYS-LIC-114887) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467987727.

Contact Information

	Mallory Koula, MD
	3075 N Reserve St Ste Q, Missoula, MT 59808-1390
	(406) 327-1850
	(406) 327-1875

Map and Direction

Physician's Profile

Full Name	Mallory Koula
Gender	Female
Speciality	Family Medicine
Location	3075 N Reserve St Ste Q, Missoula, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467987727
Provider Enumeration Date: 04/25/2017
Last Update Date: 09/27/2022

Medicare PECOS Information:

PECOS PAC ID: 6507110509
Enrollment ID: I20221007002383

Medical Identifiers

Medical identifiers for Mallory Koula such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467987727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	10983218-1205 (Utah)	Secondary
207Q00000X	Family Medicine	MED-PHYS-LIC-114887 (Montana)	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. Mallory Koula allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Mt
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787

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. Mallory Koula 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
Mallory Koula, MD Po Box 12, Liberty Lake, WA 99019-0012 Ph: (406) 327-1850	Mallory Koula, MD 3075 N Reserve St Ste Q, Missoula, MT 59808-1390 Ph: (406) 327-1850

Reviews and Comments

Family Medicine Doctors in Missoula, MT

Dr. Kevin Matthew Chin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 W Spruce St Ste A, Missoula, MT 59802 Phone: 406-728-3111 Fax: 406-728-3116
Dr. Craig H. Mchood, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6015 Hobson Ln, Missoula, MT 59803 Phone: 406-529-3978
Ned F Vasquez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4180
Aubrey M Remmers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804 Phone: 406-721-5600
Nicole Marie Pressman-schneider, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-329-7369
Blair Brown, MD, MED Family Medicine Medicare: Medicare Enrolled Practice Location: 500 W Broadway St Fl 4, Missoula, MT 59802 Phone: 406-327-1940 Fax: 406-327-1974
Ariel Fillmore, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4732

Mallory Koula, MD - Medicare Family Medicine in Missoula, MT