Mr Ron Anthon Olsen, DPM is a medicare enrolled "Podiatrist" provider in Queen Creek, Arizona. His current practice location is
20185 E Ocotillo Rd Ste 105, Queen Creek, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 677-3600.
Mr Ron Anthon Olsen is licensed to practice in Arizona (license number AZ0372) 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 1972510675.
Healthcare Provider's Profile
| Full Name | Mr Ron Anthon Olsen |
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| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 20185 E Ocotillo Rd Ste 105, Queen Creek, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972510675
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 03/01/2019
Medicare PECOS Information:
- PECOS PAC ID: 3577655398
- Enrollment ID: I20110608000250
Medical Identifiers
Medical identifiers for Mr Ron Anthon Olsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972510675 | NPI | - | NPPES |
| 1467564897 | Other | | GROUP NPI |
| 1972510675 | Other | AZ | PROVIDER BILLING ONLY |
| 159782 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | AZ0372 (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 Ron Anthon Olsen allows following entities to bill medicare on his behalf.
| Provider Name | Advanced Foot & Ankle Ltd |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1467654897
PECOS PAC ID: 3678557154
Enrollment ID: O20040614000838 |
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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. Mr Ron Anthon 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 |
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Mr Ron Anthon Olsen, DPM
Po Box 2240,
Queen Creek, AZ 85142-1846
Ph: (520) 510-3200 | Mr Ron Anthon Olsen, DPM
20185 E Ocotillo Rd Ste 105,
Queen Creek, AZ 85142-7663
Ph: (480) 677-3600 |
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