Dr Jeffrey Charles Olson, DO is a medicare enrolled "Emergency Medicine" physician in Bonita Springs, Florida. His current practice location is
10731 Halfmoon Shoal Rd Apt 103, Bonita Springs, Florida. You can reach out to his office (for appointments etc.) via phone at
(800) 224-0859.
Dr Jeffrey Charles Olson is licensed to practice in Florida (license number OS7357) 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 1174507834.
Physician's Profile
Full Name | Dr Jeffrey Charles Olson |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 10731 Halfmoon Shoal Rd Apt 103, Bonita Springs, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174507834
- Provider Enumeration Date: 12/05/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5395799886
- Enrollment ID: I20050308000677
Medical Identifiers
Medical identifiers for Dr Jeffrey Charles Olson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174507834 | NPI | - | NPPES |
57464 | Other | FL | BCBS |
251761200 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | OS7357 (Florida) | 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. Dr Jeffrey Charles Olson allows following entities to bill medicare on his behalf.
Entity Name | Paragon Emergency Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
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Entity Name | Integrated Emergency Medicine Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174991632 PECOS PAC ID: 7517267628 Enrollment ID: O20151121000178 |
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Entity Name | Tampa Bay Emergency Physicians-heartland Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043661408 PECOS PAC ID: 0749577781 Enrollment ID: O20160920000442 |
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Entity Name | Emergency Medicine Services Of Fl Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
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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 Jeffrey Charles Olson 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 |
Dr Jeffrey Charles Olson, DO 10731 Halfmoon Shoal Rd Apt 103, Bonita Springs, FL 34135-1753 Ph: (800) 224-0859 | Dr Jeffrey Charles Olson, DO 10731 Halfmoon Shoal Rd Apt 103, Bonita Springs, FL 34135-1753 Ph: (800) 224-0859 |
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