Derek Koll, in Little Falls, MN - Medicare Physical Therapy Provider

Derek Koll, is a medicare enrolled "Physical Therapist" provider in Little Falls, Minnesota. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice St Cloud Hospital and his current practice location is 109 5th St Ne, Little Falls, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 631-1104.

Derek Koll is licensed to practice in Minnesota (license number 11754) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1255827119.

Contact Information

	Derek Koll,
	109 5th St Ne, Little Falls, MN 56345-2732
	(320) 631-1104
	(320) 631-1105

Map and Direction

Healthcare Provider's Profile

Full Name	Derek Koll
Gender	Male
Speciality	Physical Therapy
Experience	6 Years
Location	109 5th St Ne, Little Falls, Minnesota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Derek Koll graduated from medical school in 2018

NPI Data:

NPI Number: 1255827119
Provider Enumeration Date: 07/03/2018
Last Update Date: 03/27/2023

Medicare PECOS Information:

PECOS PAC ID: 4183050669
Enrollment ID: I20200131000034

Medical Identifiers

Medical identifiers for Derek Koll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255827119	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11754 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Cloud Hospital	4880594779	187

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. Derek Koll allows following entities to bill medicare on his behalf.

Provider Name	Stellar Health Care
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174556682 PECOS PAC ID: 3971599861 Enrollment ID: O20040424000343

Provider Name	St Cloud Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134

Provider Name	St Cloud Hospital
Provider Type	Part B Supplier - Hospital Department(s)
Provider Identifiers	NPI Number: 1679088157 PECOS PAC ID: 4880594779 Enrollment ID: O20180221002778

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. Derek Koll 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
Derek Koll, Po Box 737, Howard Lake, MN 55349-0737 Ph: (320) 543-1103	Derek Koll, 109 5th St Ne, Little Falls, MN 56345-2732 Ph: (320) 631-1104

Reviews and Comments

Physical Therapist in Little Falls, MN

Kay Coapstick, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1108 1st St Se, Little Falls, MN 56345 Phone: 320-631-2200 Fax: 320-632-3728
Jason Cromwell, P.T.-A.T.C. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1108 1st St Se, Little Falls, MN 56345 Phone: 320-632-3671 Fax: 320-632-3728
Sharon Anne Bell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 309 First St. Ne, Suite 101, Little Falls, MN 56345 Phone: 320-631-2302 Fax: 320-631-2303
Derek Paul Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 5th St Ne, Little Falls, MN 56345 Phone: 320-631-1104 Fax: 320-631-1105
Lyndsey Wunderlich, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 309 1st St Ne Ste 101, Little Falls, MN 56345 Phone: 320-631-2302
Kristy L Feia, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 5th St Ne, Suite 1, Little Falls, MN 56345 Phone: 320-631-1104 Fax: 320-631-1105

Derek Koll, - Medicare Physical Therapist in Little Falls, MN