Nicole Marie Lawing Koutlas, MD in Winston Salem, NC

Nicole Marie Lawing Koutlas, MD is a medicare enrolled "Allergy & Immunology" physician in Winston Salem, North Carolina. Her current practice location is 1372 Westgate Center Dr, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 659-4814.

Nicole Marie Lawing Koutlas is licensed to practice in North Carolina (license number 2021-01464) 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 1750887915.

Contact Information

	Nicole Marie Lawing Koutlas, MD
	1372 Westgate Center Dr, Winston Salem, NC 27103-2932
	(336) 659-4814
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicole Marie Lawing Koutlas
Gender	Female
Speciality	Allergy & Immunology
Location	1372 Westgate Center Dr, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750887915
Provider Enumeration Date: 04/04/2018
Last Update Date: 10/31/2023

Medicare PECOS Information:

PECOS PAC ID: 8921468331
Enrollment ID: I20230717003755

Medical Identifiers

Medical identifiers for Nicole Marie Lawing Koutlas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750887915	NPI	-	NPPES
NNS226A	Other	NC	MEDICARE PTAN
1750887915	Medicaid	NC
1750887915	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207K00000X	Allergy & Immunology	2021-01464 (North Carolina)	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. Nicole Marie Lawing Koutlas allows following entities to bill medicare on her behalf.

Entity Name	Allergy Partners Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205826559 PECOS PAC ID: 7113822420 Enrollment ID: O20040628000753

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. Nicole Marie Lawing 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
Nicole Marie Lawing Koutlas, MD Po Box 603725, Charlotte, NC 28260-3725 Ph: (828) 575-2625	Nicole Marie Lawing Koutlas, MD 1372 Westgate Center Dr, Winston Salem, NC 27103-2932 Ph: (336) 659-4814

Reviews and Comments

Allergy & Immunology Doctors in Winston Salem, NC

Dr. Robert Mitchell Ross, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1401 Old Mill Cir Ste A, Winston Salem, NC 27103 Phone: 336-768-0914 Fax: 336-760-1896
Holly Murrell Mcpherson, M. D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1372 Westgate Center Dr, Winston Salem, NC 27103 Phone: 336-659-4814 Fax: 336-768-4745
Dr. Joel Michael Hartman, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1372 Westgate Center Dr, Winston Salem, NC 27103 Phone: 336-659-4814 Fax: 336-768-4745
Ingrid Margarete Hoffmann, M. D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1372 Westgate Center Dr, Winston Salem, NC 27103 Phone: 336-659-4814 Fax: 336-768-4745
Kent Joseph Nastasi, M. D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1372 Westgate Center Dr, Winston Salem, NC 27103 Phone: 336-659-4814 Fax: 336-768-4745
Elizabeth Rose Scannell, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1372 Westgate Center Dr, Winston Salem, NC 27103 Phone: 336-659-4814 Fax: 336-768-4745

Nicole Marie Lawing Koutlas, MD - Medicare Allergy & Immunology in Winston Salem, NC