Dr Alexis B Olsson, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Chicago, Illinois. His current practice location is
676 N Saint Clair St Ste 520, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(312) 926-5992.
Dr Alexis B Olsson is licensed to practice in Illinois (license number 021 001615) 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 1598753212.
Healthcare Provider's Profile
| Full Name | Dr Alexis B Olsson |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 676 N Saint Clair St Ste 520, Chicago, Illinois |
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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: 1598753212
- Provider Enumeration Date: 10/06/2005
- Last Update Date: 03/19/2026
Medicare PECOS Information:
- PECOS PAC ID: 0749444149
- Enrollment ID: I20120615000262
Medical Identifiers
Medical identifiers for Dr Alexis B Olsson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598753212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019021023 (Illinois) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 021 001615 (Illinois) | 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. Dr Alexis B Olsson allows following entities to bill medicare on his behalf.
| Entity Name | Northwestern Oral & Maxillofacial Surgeons Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558643734
PECOS PAC ID: 5698939494
Enrollment ID: O20120607000037 |
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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. Dr Alexis B Olsson 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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Dr Alexis B Olsson, DDS
676 N Saint Clair St Ste 520,
Chicago, IL 60611-2982
Ph: (312) 926-5992 | Dr Alexis B Olsson, DDS
676 N Saint Clair St Ste 520,
Chicago, IL 60611-2982
Ph: (312) 926-5992 |
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