Tanya Renee Koelker, LCPC in Belleville, IL - Medicare Counselor Provider

Tanya Renee Koelker, LCPC is a medicare enrolled "Counselor - Professional" provider in Belleville, Illinois. Her current practice location is 12 Sundew Dr, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 581-8802.

Tanya Renee Koelker is licensed to practice in Illinois (license number 180011458) 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 1902638653.

Contact Information

	Tanya Renee Koelker, LCPC
	12 Sundew Dr, Belleville, IL 62221-4356
	(618) 581-8802
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tanya Renee Koelker
Gender	Female
Speciality	Counselor - Professional
Location	12 Sundew Dr, Belleville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902638653
Provider Enumeration Date: 08/19/2024
Last Update Date: 01/23/2025

Medicare PECOS Information:

PECOS PAC ID: 6103359120
Enrollment ID: I20241030000700

Medical Identifiers

Medical identifiers for Tanya Renee Koelker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902638653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180011458 (Illinois)	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. Tanya Renee Koelker allows following entities to bill medicare on her behalf.

Entity Name	Kaleidoscope Heart Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376378562 PECOS PAC ID: 4385177302 Enrollment ID: O20241030000621

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. Tanya Renee Koelker 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
Tanya Renee Koelker, LCPC 115 Lincoln Place Ct Ste 102, Belleville, IL 62221-5876 Ph: (618) 722-9616	Tanya Renee Koelker, LCPC 12 Sundew Dr, Belleville, IL 62221-4356 Ph: (618) 581-8802

Reviews and Comments

Counselor in Belleville, IL

Matthew Steven Adams, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Royal Heights Rd, Belleville, IL 62226 Phone: 618-660-6593
Tiana M Shear, MS. ED., QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Royal Heights Rd Ste 1250, Belleville, IL 62226 Phone: 618-688-1132
Arlinda Louise Jones-abekasis, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 N 64th St, Belleville, IL 62223 Phone: 618-397-0900 Fax: 618-397-4368
Courtney Anne Cannes, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 N 64th St, Belleville, IL 62223 Phone: 618-877-9530 Fax: 618-397-4503
Jocelyn Acoff, MA, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 5720 N Belt W Ste 303, Belleville, IL 62226 Phone: 314-399-9253
Rachel Leann Hodge, MSW Counselor Medicare: May Accept Medicare Assignments Practice Location: 12 N 64th St, Belleville, IL 62223 Phone: 618-877-4420
Ms. Mary Kathleen Gibbons, L.C.P.C Counselor Medicare: Medicare Enrolled Practice Location: 2900 Frank Scott Pkwy W Ste 204, Belleville, IL 62223 Phone: 618-398-9850 Fax: 618-398-9849

Tanya Renee Koelker, LCPC - Medicare Counselor in Belleville, IL