Johnathan Koelsch, LMSW - Medicare Counselor in Ammon, ID

Johnathan Koelsch, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Ammon, Idaho. He graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Badger Inc and his current practice location is 1675 Curlew Dr, Ammon, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 523-5319.

Johnathan Koelsch is licensed to practice in Idaho (license number LCSW-38371) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326409913.

Contact Information

Johnathan Koelsch, LMSW
1675 Curlew Dr,
Ammon, ID 83406-4850
(208) 523-5319
(208) 523-5627

Healthcare Provider's Profile

Full NameJohnathan Koelsch
GenderMale
SpecialityClinical Social Worker
Experience12 Years
Location1675 Curlew Dr, Ammon, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Johnathan Koelsch graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1326409913
  • Provider Enumeration Date: 03/10/2016
  • Last Update Date: 08/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931442696
  • Enrollment ID: I20190521000295

Medical Identifiers

Medical identifiers for Johnathan Koelsch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326409913NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LMSW-34382 (Idaho)Secondary
1041C0700XSocial Worker - Clinical LCSW-38371 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Badger Inc31737941879

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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. Johnathan Koelsch allows following entities to bill medicare on his behalf.
Entity NameBadger Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619134277
PECOS PAC ID: 3173794187
Enrollment ID: O20110923000401

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Entity Name4 Pillars Of Success Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619134277
PECOS PAC ID: 4688027188
Enrollment ID: O20240131004474

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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. Johnathan Koelsch 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 AddressPractice Location Address
Johnathan Koelsch, LMSW
Po Box 2106,
Idaho Falls, ID 83403-2106

Ph: (208) 523-5319
Johnathan Koelsch, LMSW
1675 Curlew Dr,
Ammon, ID 83406-4850

Ph: (208) 523-5319

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› Verified 7 days ago


Social Worker in Ammon, ID


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