James Patrick Olsen, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Glen Oaks, New York. His current practice location is
7559 263rd St, Glen Oaks, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 470-8763.
James Patrick Olsen is licensed to practice in New York (license number 026249) 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 1689443855.
Healthcare Provider's Profile
| Full Name | James Patrick Olsen |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 7559 263rd St, Glen Oaks, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1689443855
- Provider Enumeration Date: 12/28/2023
- Last Update Date: 12/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416393822
- Enrollment ID: I20240307003192
Medical Identifiers
Medical identifiers for James Patrick Olsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689443855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 026249 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 026249 (New York) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 026249 (New York) | 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. James Patrick Olsen allows following entities to bill medicare on his behalf.
| Entity Name | North Shore - Lij Medical Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
|---|
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. James Patrick 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 |
|---|
James Patrick Olsen, PHD
2 Ellie Ln,
Saint James, NY 11780-3053
Ph: (631) 525-9335 | James Patrick Olsen, PHD
7559 263rd St,
Glen Oaks, NY 11004-1150
Ph: (718) 470-8763 |
Reviews and Comments