Jesse M Olmedo, MD | |
14800 W Mountain View Blvd, Suite 160, Surprise, AZ 85374-2700 | |
(623) 584-3376 | |
(623) 584-3375 |
Full Name | Jesse M Olmedo |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 23 Years |
Location | 14800 W Mountain View Blvd, Surprise, 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 |
---|---|---|---|
1265490429 | NPI | - | NPPES |
1265490429 | Other | AZ | AHCCCS |
2281872 | Other | AZ | UNITED HEALTHCARE |
99S007000011 | Other | AZ | MEDISUN |
7538647 | Other | AZ | AETNA |
2Z3349 | Other | AZ | HEALTH NET |
AZ0779550 | Other | AZ | BLUE CROSS BLUE SHIELD |
188961600 | Other | AZ | DEPT OF LABOR WORK COMP |
P00234871 | Other | AZ | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 30536 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arizona Dermatology Specialists, Pllc | 6204085145 | 5 |
Entity Name | Arizona Dermatology Specialists, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992061162 PECOS PAC ID: 6204085145 Enrollment ID: O20121009000421 |
Mailing Address | Practice Location Address |
---|---|
Jesse M Olmedo, MD 14800 W Mountain View Blvd, Suite 160, Surprise, AZ 85374-4795 Ph: (623) 584-3376 | Jesse M Olmedo, MD 14800 W Mountain View Blvd, Suite 160, Surprise, AZ 85374-2700 Ph: (623) 584-3376 |
Lynn Leroy Juracek, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14239 W Bell Rd, Suite 101, Surprise, AZ 85374 Phone: 623-544-7755 Fax: 623-544-8665 | |
Dr. Susan Il Iorio, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 14725 W Mountain View Blvd Ste 103, Surprise, AZ 85374 Phone: 623-243-9077 Fax: 623-544-8665 | |
Dr. Drew Aubrey Reese, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14800 W Mountain View Blvd Ste 160, Surprise, AZ 85374 Phone: 623-584-3376 Fax: 623-584-3375 | |
Kevin Nethers, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 14725 W Mountain View Blvd, Surprise, AZ 85374 Phone: 623-243-9077 Fax: 623-271-9826 | |
Dr. James Orson Barlow, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14800 W Mountain View Blvd Ste 160, Surprise, AZ 85374 Phone: 623-584-3376 Fax: 623-584-3375 |