Dr Roderick Taan Olivas, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Lubbock, Texas. His current practice location is
3601 4th St Stop 6211, Lubbock, Texas. You can reach out to his office (for appointments etc.) via phone at
(806) 743-2978.
Dr Roderick Taan Olivas is licensed to practice in Texas (license number U7920) 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 1295294684.
Physician's Profile
Full Name | Dr Roderick Taan Olivas |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3601 4th St Stop 6211, Lubbock, Texas |
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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: 1295294684
- Provider Enumeration Date: 03/15/2019
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082038336
- Enrollment ID: I20200721001090
Medical Identifiers
Medical identifiers for Dr Roderick Taan Olivas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295294684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | U7920 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | U7920 (Texas) | Primary |
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 Roderick Taan Olivas 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 Roderick Taan Olivas, MD 3601 4th St Stop 6211, Lubbock, TX 79430-6211 Ph: () - | Dr Roderick Taan Olivas, MD 3601 4th St Stop 6211, Lubbock, TX 79430-5881 Ph: (806) 743-2978 |
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