Laura Jo Koletar, LICSW in Burnsville, MN - Medicare Social Worker Provider

Laura Jo Koletar, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Burnsville, Minnesota. Her current practice location is 1609 County Road 42 W Ste 309, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 808-1400.

Laura Jo Koletar is licensed to practice in Minnesota (license number 30081) 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 1013712694.

Contact Information

	Laura Jo Koletar, LICSW
	1609 County Road 42 W Ste 309, Burnsville, MN 55306-6213
	(952) 808-1400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Laura Jo Koletar
Gender	Female
Speciality	Social Worker - Clinical
Location	1609 County Road 42 W Ste 309, Burnsville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013712694
Provider Enumeration Date: 02/17/2025
Last Update Date: 05/12/2025

Medicare PECOS Information:

PECOS PAC ID: 7719405331
Enrollment ID: I20250519000433

Medical Identifiers

Medical identifiers for Laura Jo Koletar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013712694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	30081 (Minnesota)	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. Laura Jo Koletar allows following entities to bill medicare on her behalf.

Entity Name	People Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215104831 PECOS PAC ID: 7012043540 Enrollment ID: O20100409000071

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. Laura Jo Koletar 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
Laura Jo Koletar, LICSW 1609 County Road 42 W Ste 309, Burnsville, MN 55306-6213 Ph: (952) 808-1400	Laura Jo Koletar, LICSW 1609 County Road 42 W Ste 309, Burnsville, MN 55306-6213 Ph: (952) 808-1400

Reviews and Comments

Social Worker in Burnsville, MN

Lauren Mary Schairer, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2970 Judicial Rd Ste 100, Burnsville, MN 55337 Phone: 617-335-9528
Jibril Abdi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Mcandrews Rd W Ste 203, Burnsville, MN 55337 Phone: 507-213-6393
Ms. Ariel Goltzman, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14300 Nicollet Ct, Suite 130, Burnsville, MN 55306 Phone: 952-435-8814
Dawn Ebeling, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2970 Judicial Rd Ste 100, Burnsville, MN 55337 Phone: 952-224-8990
Kallie Joy Bennett, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14301 Ewing Ave S, Burnsville, MN 55306 Phone: 952-746-5350
Kaitlyn Elizabeth Lanning, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1609 County Road 42 W Ste 315, Burnsville, MN 55306 Phone: 952-960-9400 Fax: 952-960-9400

Laura Jo Koletar, LICSW - Medicare Clinical Social Worker in Burnsville, MN