Mr Gordon S Olsen, DOPC is a medicare enrolled "Orthopaedic Surgery" physician in Roosevelt, Utah. He graduated from medical school in 1992 and has 33 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Uintah Basin Medical Center, Northeastern Utah Medical Group and his current practice location is
210 W 300 N, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 722-4691.
Mr Gordon S Olsen is licensed to practice in Utah (license number 2689281204) 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 1235237744.
Physician's Profile
Full Name | Mr Gordon S Olsen |
---|
Gender | Male |
---|
Speciality | Orthopedic Surgery |
---|
Experience | 33 Years |
---|
Location | 210 W 300 N, Roosevelt, Utah |
---|
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Gordon S Olsen graduated from medical school in 1992
NPI Data:
- NPI Number: 1235237744
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 0547220915
- Enrollment ID: I20050601000882
Medical Identifiers
Medical identifiers for Mr Gordon S Olsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235237744 | NPI | - | NPPES |
117765600 | Medicaid | WY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 2689281204 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Uintah Basin Medical Center | 0244131944 | 56 |
Northeastern Utah Medical Group | 2961496609 | 42 |
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. Mr Gordon S Olsen allows following entities to bill medicare on his behalf.
Entity Name | Ihc Health Services Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
---|
Entity Name | Uintah Basin Medical Center |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1871556217 PECOS PAC ID: 0244131944 Enrollment ID: O20040226000948 |
---|
Entity Name | Northeastern Utah Medical Group |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1982664199 PECOS PAC ID: 2961496609 Enrollment ID: O20040414000471 |
---|
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. Mr Gordon S Olsen 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 |
Mr Gordon S Olsen, DOPC 210 W 300 N, Roosevelt, UT 84066-2336 Ph: (435) 725-7448 | Mr Gordon S Olsen, DOPC 210 W 300 N, Roosevelt, UT 84066-2336 Ph: (435) 722-4691 |
Reviews and Comments