Stephen Joseph Ollock, DMD is a medicare enrolled "Dentist" provider in Blossburg, Pennsylvania. His current practice location is
116 Seymour St, Blossburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 638-3468.
Stephen Joseph Ollock is licensed to practice in Pennsylvania (license number DS038254) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003136904.
Healthcare Provider's Profile
Full Name | Stephen Joseph Ollock |
---|
Gender | Male |
---|
Speciality | Dentist |
---|
Location | 116 Seymour St, Blossburg, Pennsylvania |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003136904
- Provider Enumeration Date: 06/03/2010
- Last Update Date: 03/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507252459
- Enrollment ID: I20220401001873
Medical Identifiers
Medical identifiers for Stephen Joseph Ollock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003136904 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DS038254 (Pennsylvania) | 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. Stephen Joseph Ollock allows following entities to bill medicare on his behalf.
Entity Name | North Penn Comprehensive Health Services |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1912093576 PECOS PAC ID: 0446245880 Enrollment ID: O20040416000152 |
---|
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. Stephen Joseph Ollock 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 |
Stephen Joseph Ollock, DMD 40 W Wellsboro St, Mansfield, PA 16933-1411 Ph: (570) 662-1945 | Stephen Joseph Ollock, DMD 116 Seymour St, Blossburg, PA 16912-1418 Ph: (570) 638-3468 |
Reviews and Comments