Pelagia E Kouloumberis, MD in Fargo, ND

Pelagia E Kouloumberis, MD is a medicare enrolled "Neurological Surgery" physician in Fargo, North Dakota. She went to Wayne State University School Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Neurosurgery. She is a member of the group practice Banner - University Physician Specialists Llc, Sanford Medical Center Fargo and her current practice location is 5225 23rd Ave S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 417-2575.

Pelagia E Kouloumberis is licensed to practice in North Dakota (license number 17057) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487804969.

Contact Information

	Pelagia E Kouloumberis, MD
	5225 23rd Ave S, Fargo, ND 58104-7927
	(701) 417-2575
	Not Available

Map and Direction

Physician's Profile

Full Name	Pelagia E Kouloumberis
Gender	Female
Speciality	Neurosurgery
Experience	22 Years
Location	5225 23rd Ave S, Fargo, North Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Pelagia E Kouloumberis attended and graduated from Wayne State University School Of Medicine in 2003

NPI Data:

NPI Number: 1487804969
Provider Enumeration Date: 09/22/2008
Last Update Date: 04/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8820129547
Enrollment ID: I20161219002658

Medical Identifiers

Medical identifiers for Pelagia E Kouloumberis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487804969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	52549 (Arizona)	Secondary
207T00000X	Neurological Surgery	17057 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Medical Center Fargo	Fargo, ND	Hospital
Banner - University Medical Center Phoenix	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner - University Physician Specialists Llc	5991008054	295
Sanford Medical Center Fargo	8426967803	1125

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. Pelagia E Kouloumberis allows following entities to bill medicare on her behalf.

Entity Name	Banner - University Physician Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476

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. Pelagia E Kouloumberis 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
Pelagia E Kouloumberis, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419	Pelagia E Kouloumberis, MD 5225 23rd Ave S, Fargo, ND 58104-7927 Ph: (701) 417-2575

Reviews and Comments

Neurological Surgery Doctors in Fargo, ND

Marcus F Keep, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036
Dr. Behzad Sabit, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 2301 25th St S, Fargo, ND 58103 Phone: 701-234-7400
Mickey G Syrquin, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078
Tong Yang, MD, PHD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 Fax: 701-234-4050
Dr. Steven Jared Broadway, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2829 University Dr S Ste 202, Fargo, ND 58103 Phone: 701-356-7444 Fax: 701-478-0309
Dr. Eunkyung Michelle Bahn, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000

Pelagia E Kouloumberis, MD - Medicare Neurosurgery in Fargo, ND