James Brian Olack, MD | |
2450 E Show Low Lake Rd, Suite 2a, Show Low, AZ 85901-7953 | |
(928) 537-6767 | |
(928) 537-0299 |
Full Name | James Brian Olack |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 21 Years |
Location | 2450 E Show Low Lake Rd, Show Low, Arizona |
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 |
---|---|---|---|
1669686135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | ME103523 (Florida) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 43222 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Healthcare Medical Associates | 8729205737 | 79 |
Entity Name | Summit Healthcare Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144209271 PECOS PAC ID: 3779568647 Enrollment ID: O20040623001125 |
Entity Name | Summit Healthcare Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467878108 PECOS PAC ID: 8729205737 Enrollment ID: O20140815000931 |
Mailing Address | Practice Location Address |
---|---|
James Brian Olack, MD 2450 E Show Low Lake Rd, Suite 2a, Show Low, AZ 85901-7953 Ph: (928) 537-6767 | James Brian Olack, MD 2450 E Show Low Lake Rd, Suite 2a, Show Low, AZ 85901-7953 Ph: (928) 537-6767 |
William J Waldo, MD Surgery Medicare: Medicare Enrolled Practice Location: 2650 E Show Low Lake Rd, Suite 2, Show Low, AZ 85901 Phone: 928-537-4240 Fax: 928-537-4541 | |
Michael Edward Tieman, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5171 Cub Lake Rd, Suite 280, Show Low, AZ 85901 Phone: 928-532-5463 Fax: 928-532-8474 | |
Dr. Burke Delange, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5171 Cub Lake Rd, Suite C 350, Show Low, AZ 85901 Phone: 928-537-8285 |