| Derek Koll, | |
|
109 5th St Ne, Little Falls, MN 56345-2732 | |
| (320) 631-1104 | |
| (320) 631-1105 |
| Full Name | Derek Koll |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 7 Years |
| Location | 109 5th St Ne, Little Falls, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255827119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11754 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Cloud Hospital | 4880594779 | 203 |
| Provider Name | Stellar Health Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174556682 PECOS PAC ID: 3971599861 Enrollment ID: O20040424000343 |
| Provider Name | St Cloud Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
| Provider Name | St Cloud Hospital |
|---|---|
| Provider Type | Part B Supplier - Hospital Department(s) |
| Provider Identifiers | NPI Number: 1679088157 PECOS PAC ID: 4880594779 Enrollment ID: O20180221002778 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Koll, Po Box 737, Howard Lake, MN 55349-0737 Ph: (320) 543-1103 | Derek Koll, 109 5th St Ne, Little Falls, MN 56345-2732 Ph: (320) 631-1104 |
Kay Coapstick, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1108 1st St Se, Little Falls, MN 56345 Phone: 320-631-2200 Fax: 320-632-3728 | |
Jason Cromwell, P.T.-A.T.C. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1108 1st St Se, Little Falls, MN 56345 Phone: 320-632-3671 Fax: 320-632-3728 | |
Sharon Anne Bell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 First St. Ne, Suite 101, Little Falls, MN 56345 Phone: 320-631-2302 Fax: 320-631-2303 | |
Derek Paul Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 5th St Ne, Little Falls, MN 56345 Phone: 320-631-1104 Fax: 320-631-1105 | |
Little Falls Integrated Physical Medicine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 2nd St Se, Little Falls, MN 56345 Phone: 757-617-8397 | |
Lyndsey Wunderlich, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 309 1st St Ne Ste 101, Little Falls, MN 56345 Phone: 320-631-2302 | |
Kristy L Feia, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 5th St Ne, Suite 1, Little Falls, MN 56345 Phone: 320-631-1104 Fax: 320-631-1105 |