Dr Brian R Koller, MD - Medicare Psychiatry in Burnsville, MN

Dr Brian R Koller, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Burnsville, Minnesota. He went to University Of Minnesota Medical School and graduated in 1986 and has 38 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Park Nicollet Clinic and his current practice location is 675 E Nicollet Blvd Ste 250, Burnsville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-3307.

Dr Brian R Koller is licensed to practice in Minnesota (license number 36329) 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 1043295223.

Contact Information

Dr Brian R Koller, MD
675 E Nicollet Blvd Ste 250,
Burnsville, MN 55337-6768
(952) 993-3307
Not Available

Map and Direction




Physician's Profile

Full NameDr Brian R Koller
GenderMale
SpecialityPsychiatry
Experience38 Years
Location675 E Nicollet Blvd Ste 250, Burnsville, Minnesota
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:
  • Dr Brian R Koller attended and graduated from University Of Minnesota Medical School in 1986
  NPI Data:
  • NPI Number: 1043295223
  • Provider Enumeration Date: 12/12/2005
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7012054869
  • Enrollment ID: I20091027000593

Medical Identifiers

Medical identifiers for Dr Brian R Koller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043295223NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 36329 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Park Nicollet Methodist HospitalSaint louis park, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381529

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. Dr Brian R Koller allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameNystrom & Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396750188
PECOS PAC ID: 6406752492
Enrollment ID: O20031210000592

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. Dr Brian R Koller 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
Dr Brian R Koller, MD
675 E Nicollet Blvd Ste 250,
Burnsville, MN 55337-6768

Ph: (952) 993-3307
Dr Brian R Koller, MD
675 E Nicollet Blvd Ste 250,
Burnsville, MN 55337-6768

Ph: (952) 993-3307

Reviews and Comments


Psychiatry & Neurology Doctors in Burnsville, MN

Dr. Jack Edward Hubbard Jr., PH.D., M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 675 E Nicollet Blvd, Suite 100, Burnsville, MN 55337
Phone: 952-435-8516    Fax: 763-302-4336
M Gene Parrish,
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 14000 Fairview Dr, Burnsville, MN 55337
Phone: 952-993-8608    
Yelena Sergeevna Mironova-chin, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 675 E Nicollet Blvd, Burnsville, MN 55337
Phone: 952-993-3307    
Dr. Ruth Mize Myers, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 14300 Nicollet Court, Suite 207, Burnsville, MN 55306
Phone: 952-898-7578    Fax: 952-898-7592
Dr. Ingrid Abols-mantyh, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 675 E Nicollet Blvd, Suite 100, Burnsville, MN 55337
Phone: 952-435-8516    Fax: 763-302-4336
Dr. Leland James Scott, M.D., PH.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337
Phone: 952-435-8516    Fax: 763-302-4336

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.