Jacob Daniel Olson, is a medicare enrolled "Marriage & Family Therapist" provider in Mora, Minnesota. 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 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 1427700046.
Healthcare Provider's Profile
Full Name | Jacob Daniel Olson |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 820 Howe Ave Ste 108, Mora, Minnesota |
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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: 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 |
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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