Debra A Koltis, MS,LPC,SAC,NCC is a
Counselor - Professional based in Thorp, Wisconsin. Debra A Koltis is licensed to practice in Wisconsin (license number 3438-125) and her current practice location is
W10274 Eddy Rd, Thorp, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 497-6478.
NPI number for Debra A Koltis is 1063584225 and her current mailing address is W10274 Eddy Rd, Thorp, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063584225.
Healthcare Provider's Profile
Full Name | Debra A Koltis |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | W10274 Eddy Rd, Thorp, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063584225
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 04/17/2020
Medical Identifiers
Medical identifiers for Debra A Koltis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063584225 | NPI | - | NPPES |
409-78700 | Medicaid | WI | |
93156 | Other | WI | SECURITY HEALTH PLAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 15167 (Wisconsin) | Secondary |
101YM0800X | Counselor - Mental Health | 3438-125 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 3438-125 (Wisconsin) | Primary |
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. Debra A Koltis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Debra A Koltis, MS,LPC,SAC,NCC W10274 Eddy Rd, Thorp, WI 54771-7626 Ph: (715) 497-6478 | Debra A Koltis, MS,LPC,SAC,NCC W10274 Eddy Rd, Thorp, WI 54771-7626 Ph: (715) 497-6478 |
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