Harry James Olivella, PAC is a medicare enrolled "Physician Assistant" in Linden, Texas. His current practice location is
404 N Kaufman St, Linden, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 756-5561.
Harry James Olivella is licensed to practice in Texas (license number PA02107) 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 1265489322.
Provider's Profile
Full Name | Harry James Olivella |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 404 N Kaufman St, Linden, Texas |
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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: 1265489322
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 03/04/2009
Medicare PECOS Information:
- PECOS PAC ID: 6608892450
- Enrollment ID: I20200304001240
Medical Identifiers
Medical identifiers for Harry James Olivella such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265489322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA02107 (Texas) | 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. Harry James Olivella 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 |
Harry James Olivella, PAC Po Box 2701, Longview, TX 75606-2701 Ph: (903) 315-5704 | Harry James Olivella, PAC 404 N Kaufman St, Linden, TX 75563-5234 Ph: (903) 756-5561 |
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