Jordyn Ann Koski, LCSW in Fargo, ND - Medicare Social Worker Provider

Jordyn Ann Koski, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fargo, North Dakota. Her current practice location is 2624 9th Ave S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 298-4500.

Jordyn Ann Koski is licensed to practice in North Dakota (license number 5017) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568815959.

Contact Information

	Jordyn Ann Koski, LCSW
	2624 9th Ave S, Fargo, ND 58103-2350
	(701) 298-4500
	(701) 298-4400

Map and Direction

Healthcare Provider's Profile

Full Name	Jordyn Ann Koski
Gender	Female
Speciality	Social Worker - Clinical
Location	2624 9th Ave S, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568815959
Provider Enumeration Date: 07/20/2016
Last Update Date: 06/25/2026

Medicare PECOS Information:

PECOS PAC ID: 3072913011
Enrollment ID: I20210614002104

Medical Identifiers

Medical identifiers for Jordyn Ann Koski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568815959	NPI	-	NPPES
1468651	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	5017 (North Dakota)	Primary
1041C0700X	Social Worker - Clinical	24379 (Minnesota)	Secondary
1041C0700X	Social Worker - Clinical	4262 (Nebraska)	Secondary

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. Jordyn Ann Koski allows following entities to bill medicare on her behalf.

Entity Name	Southeast Human Service Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932146941 PECOS PAC ID: 8527027556 Enrollment ID: O20041006000512

Entity Name	Solace Counseling Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235799842 PECOS PAC ID: 1254759681 Enrollment ID: O20200916001065

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. Jordyn Ann Koski 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
Jordyn Ann Koski, LCSW 5147 44th St S, Fargo, ND 58104-6069 Ph: (701) 369-3181	Jordyn Ann Koski, LCSW 2624 9th Ave S, Fargo, ND 58103-2350 Ph: (701) 298-4500

Reviews and Comments

Social Worker in Fargo, ND

Rachel Marsolek, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 721 1st Ave N, Fargo, ND 58102 Phone: 701-461-7364
Brittany Joy Alexander, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3241
Tracy Marie Lamont, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3241
Tracy E Mohn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-3106 Fax: 701-234-3106
Rachel Salquist, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3241
Tracy M Foldesi-penas, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-3100 Fax: 701-234-3120
Jaime Lee Wenner-windahl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-239-3700

Jordyn Ann Koski, LCSW - Medicare Clinical Social Worker in Fargo, ND