Max Olesevich, MD is a medicare enrolled "General Practice" physician in Mauston, Wisconsin. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Governor Juan F Luis Hospital And Medical Center and his current practice location is
1050 Division St, Mauston, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 847-6161.
Max Olesevich is licensed to practice in Wisconsin (license number 52289-020) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073706677.
Physician's Profile
| Full Name | Max Olesevich |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 23 Years |
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| Location | 1050 Division St, Mauston, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Max Olesevich graduated from medical school in 2001
NPI Data:
- NPI Number: 1073706677
- Provider Enumeration Date: 08/27/2007
- Last Update Date: 07/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800958851
- Enrollment ID: I20240108004950
Medical Identifiers
Medical identifiers for Max Olesevich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073706677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 52289-020 (Wisconsin) | Primary |
| 207P00000X | Emergency Medicine | 192189 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Governor Juan F Luis Hospital And Medical Center | 1153233804 | 35 |
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. Max Olesevich allows following entities to bill medicare on his behalf.
| Entity Name | Governor Juan F Luis Hospital & Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972503647
PECOS PAC ID: 1153233804
Enrollment ID: O20070515000578 |
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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. Max Olesevich 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 |
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Max Olesevich, MD
1050 Division St,
Mauston, WI 53948-1931
Ph: (608) 847-6161 | Max Olesevich, MD
1050 Division St,
Mauston, WI 53948-1931
Ph: (608) 847-6161 |
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