Mr Timothy John Koller, MS, LPC in Wausau, WI

Mr Timothy John Koller, MS, LPC is a medicare enrolled "Counselor - Professional" provider in Wausau, Wisconsin. His current practice location is 401 5th St, Ste 235, Wausau, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 849-3311.

Mr Timothy John Koller is licensed to practice in Wisconsin (license number 2649-125) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407918998.

Contact Information

	Mr Timothy John Koller, MS, LPC
	401 5th St, Ste 235, Wausau, WI 54403-5470
	(715) 849-3311
	(715) 849-8414

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Timothy John Koller
Gender	Male
Speciality	Counselor - Professional
Location	401 5th St, Wausau, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407918998
Provider Enumeration Date: 12/14/2006
Last Update Date: 11/11/2008

Medicare PECOS Information:

PECOS PAC ID: 9133570971
Enrollment ID: I20240105003006

Medical Identifiers

Medical identifiers for Mr Timothy John Koller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407918998	NPI	-	NPPES
39756000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2649-125 (Wisconsin)	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. Mr Timothy John Koller allows following entities to bill medicare on his behalf.

Entity Name	The Centre For Well-being, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144426495 PECOS PAC ID: 6002083920 Enrollment ID: O20120118000196

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. Mr Timothy John Koller 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
Mr Timothy John Koller, MS, LPC Po Box 1127, Sheboygan, WI 53082-1127 Ph: (920) 457-6750	Mr Timothy John Koller, MS, LPC 401 5th St, Ste 235, Wausau, WI 54403-5470 Ph: (715) 849-3311

Reviews and Comments

Counselor in Wausau, WI

Nicole M. Tesch, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398
Karen Slattery, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398
James Hahn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600
Jennifer Hearn, LPC, SAC Counselor Medicare: Medicare Enrolled Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398
Ann Marie Dixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N 3rd St # 208-34, Wausau, WI 54403 Phone: 414-306-0555
Dakota J Kaiser, PHD Counselor Medicare: Medicare Enrolled Practice Location: 1810 N 2nd St, Wausau, WI 54403 Phone: 715-848-4884 Fax: 715-845-5398
Tania Valentina Alarcon, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 630 S. 36th Avenue, Wausau, WI 54401 Phone: 855-607-8242

Mr Timothy John Koller, MS, LPC - Medicare Counselor in Wausau, WI