Dr Mark Jerome Olson, in Chula Vista, CA - Medicare Dentist Provider

Dr Mark Jerome Olson, is a medicare enrolled "Dentist - General Practice" provider in Chula Vista, California. His current practice location is 752 Medical Center Ct Ste 212, Chula Vista, California. You can reach out to his office (for appointments etc.) via phone at (619) 216-9797.

Dr Mark Jerome Olson is licensed to practice in California (license number 39691) 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 1831369255.

Contact Information

	Dr Mark Jerome Olson,
	752 Medical Center Ct Ste 212, Chula Vista, CA 91911-6660
	(619) 216-9797
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mark Jerome Olson
Gender	Male
Speciality	Dentist - General Practice
Location	752 Medical Center Ct Ste 212, Chula Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831369255
Provider Enumeration Date: 03/03/2008
Last Update Date: 03/03/2008

Medicare PECOS Information:

PECOS PAC ID: 9133590367
Enrollment ID: I20230125001935

Medical Identifiers

Medical identifiers for Dr Mark Jerome Olson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831369255	NPI	-	NPPES
39691	Other	CA	LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	39691 (California)	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 Mark Jerome Olson allows following entities to bill medicare on his behalf.

Entity Name	Centro De Salud De La Comunidad De San Ysidro, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711

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 Mark Jerome 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
Dr Mark Jerome Olson, 752 Medical Center Ct Ste 212, Chula Vista, CA 91911-6660 Ph: (619) 216-9797	Dr Mark Jerome Olson, 752 Medical Center Ct Ste 212, Chula Vista, CA 91911-6660 Ph: (619) 216-9797

Reviews and Comments

Dentist in Chula Vista, CA

Dr. Federico G Drachenberg, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 890 Eastlake Parkway, Ste 101, Chula Vista, CA 91914 Phone: 619-934-3258 Fax: 619-651-7578
Evelyn Lugue Salazar, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1101 Broadway, Chula Vista, CA 91911 Phone: 619-422-8891 Fax: 619-422-4356
Dr. Graciela L Lopez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 301 3rd Ave, Chula Vista, CA 91910 Phone: 619-476-1444 Fax: 619-476-0656
Luis E Real, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 690 E St, Chula Vista, CA 91910 Phone: 619-425-2122 Fax: 619-425-2125
Karen Yong Liu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 885 Canarios Court, Suite 202, Chula Vista, CA 91910 Phone: 619-656-6800 Fax: 619-656-0200
Dr. Mercedes F Razo, D.D.S,M.A.G.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 885 Canarios Ct, #210, Chula Vista, CA 91910 Phone: 619-656-4199 Fax: 619-656-6945
Ruth Garcia Rosas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2452 Fenton St Ste 200, Chula Vista, CA 91914 Phone: 619-934-6620

Dr Mark Jerome Olson, - Medicare Dentist in Chula Vista, CA