Mr Darryl L Olive Jr, PA-C is a medicare enrolled "Physician Assistant" provider in Topeka, Kansas. His current practice location is
3707 Sw 6th Ave, Topeka, Kansas. You can reach out to his office (for appointments etc.) via phone at
(785) 270-4600.
Mr Darryl L Olive Jr is licensed to practice in Kansas (license number 1502108) 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 1639494073.
Healthcare Provider's Profile
Full Name | Mr Darryl L Olive Jr |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 3707 Sw 6th Ave, Topeka, Kansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639494073
- Provider Enumeration Date: 03/29/2010
- Last Update Date: 04/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456604172
- Enrollment ID: I20181026001413
Medical Identifiers
Medical identifiers for Mr Darryl L Olive Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639494073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 09980-01073 (Kansas) | Secondary |
226300000X | Kinesiotherapist | YA-34381 (Kansas) | Secondary |
363A00000X | Physician Assistant | 2019013315 (Missouri) | Secondary |
363A00000X | Physician Assistant | 1502108 (Kansas) | Primary |
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 Darryl L Olive Jr 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 Darryl L Olive Jr, PA-C 3707 Sw 6th Ave, Topeka, KS 66606-2084 Ph: (785) 270-4600 | Mr Darryl L Olive Jr, PA-C 3707 Sw 6th Ave, Topeka, KS 66606-2084 Ph: (785) 270-4600 |
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