Jacob Kirt Olson, MD - Medicare Student in an Organized Health Care Education/Training Program in Loma Linda, CA

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Jacob Kirt Olson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Loma Linda, California. His current practice location is 11234 Anderson St, Gme Office Csp 21005, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 558-4289.

Jacob Kirt Olson is licensed to practice in * (Not Available) (license number ) 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 1225396237.

Contact Information

Jacob Kirt Olson, MD
11234 Anderson St, Gme Office Csp 21005,
Loma Linda, CA 92354-2804
(909) 558-4289
Not Available

Map and Direction




Physician's Profile

Full NameJacob Kirt Olson
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location11234 Anderson St, Loma Linda, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225396237
  • Provider Enumeration Date: 04/26/2012
  • Last Update Date: 08/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0941682926
  • Enrollment ID: I20220808002206

Medical Identifiers

Medical identifiers for Jacob Kirt Olson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225396237NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery 1225396237 (Indiana)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Jacob Kirt Olson allows following entities to bill medicare on his behalf.
Entity NamePediatric Surgical Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790880292
PECOS PAC ID: 9032123468
Enrollment ID: O20060206000474
Entity NameCommunity Physicians Of Indiana Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619105244
PECOS PAC ID: 1759416662
Enrollment ID: O20100317000717

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. Jacob Kirt 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 AddressPractice Location Address
Jacob Kirt Olson, MD
250 N Shadeland Ave Ofc,
Indianapolis, IN 46219-4959

Ph: () -		Jacob Kirt Olson, MD
11234 Anderson St, Gme Office Csp 21005,
Loma Linda, CA 92354-2804

Ph: (909) 558-4289

Reviews and Comments



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.