Jacob Daniel Olson, is a medicare enrolled "Marriage & Family Therapist" provider in Mora, Minnesota. He graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Marriage And Family Therapist. He is a member of the group practice Legacy Counseling Services Inc and his current practice location is
820 Howe Ave Ste 108, Mora, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 679-2438.
Jacob Daniel Olson is licensed to practice in Minnesota (license number 4026) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427700046.
Healthcare Provider's Profile
| Full Name | Jacob Daniel Olson |
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| Gender | Male |
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| Speciality | Marriage And Family Therapist |
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| Experience | 7 Years |
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| Location | 820 Howe Ave Ste 108, Mora, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacob Daniel Olson graduated from medical school in 2019
NPI Data:
- NPI Number: 1427700046
- Provider Enumeration Date: 01/25/2022
- Last Update Date: 01/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123549342
- Enrollment ID: I20250304003372
Medical Identifiers
Medical identifiers for Jacob Daniel Olson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427700046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 4026 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Legacy Counseling Services Inc | 9537606967 | 2 |
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. Jacob Daniel Olson allows following entities to bill medicare on his behalf.
| Entity Name | Legacy Counseling Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548666985 PECOS PAC ID: 9537606967 Enrollment ID: O20240802003713 |
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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. Jacob Daniel Olson 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 |
Jacob Daniel Olson, 820 Howe Ave Ste 108, Mora, MN 55051-1766 Ph: (320) 679-2438 | Jacob Daniel Olson, 820 Howe Ave Ste 108, Mora, MN 55051-1766 Ph: (320) 679-2438 |
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