Mr Fredy Olaya Jr, FNP-C - Medicare Nurse Practitioner in Avondale, AZ

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Mr Fredy Olaya Jr, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Avondale, Arizona. His current practice location is 11685 W Van Buren St, Avondale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 465-6420.

Mr Fredy Olaya Jr is licensed to practice in Arizona (license number 288325) 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 1619676996.

Contact Information

Mr Fredy Olaya Jr, FNP-C
11685 W Van Buren St,
Avondale, AZ 85323-6904
(623) 465-6420
Not Available

Map and Direction




Provider's Profile

Full NameMr Fredy Olaya Jr
GenderMale
SpecialityNurse Practitioner - Family
Location11685 W Van Buren St, Avondale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619676996
  • Provider Enumeration Date: 02/27/2023
  • Last Update Date: 02/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749654648
  • Enrollment ID: I20230315002881

Medical Identifiers

Medical identifiers for Mr Fredy Olaya Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619676996NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 288325 (Arizona)Primary

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 Fredy Olaya Jr allows following entities to bill medicare on his behalf.
Entity NameBanner Urgent Care Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316349855
PECOS PAC ID: 3678749496
Enrollment ID: O20111228000784
Entity NameBanner Urgent Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609229764
PECOS PAC ID: 4284921610
Enrollment ID: O20160928001188

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 Fredy Olaya 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 AddressPractice Location Address
Mr Fredy Olaya Jr, FNP-C
Po Box 2916,
Phoenix, AZ 85062-2916

Ph: () -		Mr Fredy Olaya Jr, FNP-C
11685 W Van Buren St,
Avondale, AZ 85323-6904

Ph: (623) 465-6420

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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