Dr Kelly Lynn Olsen, DO - Medicare Urology in Mount Laurel, NJ

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Dr Kelly Lynn Olsen, DO is a medicare enrolled "Urology" physician in Mount Laurel, New Jersey. Her current practice location is 15000 Midlantic Dr, Mount Laurel, New Jersey. You can reach out to her office (for appointments etc.) via phone at (877) 388-2778.

Dr Kelly Lynn Olsen is licensed to practice in New Jersey (license number 25MB11909400) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407340433.

Contact Information

Dr Kelly Lynn Olsen, DO
15000 Midlantic Dr,
Mount Laurel, NJ 08054-1573
(877) 388-2778
(856) 252-1100

Map and Direction




Physician's Profile

Full NameDr Kelly Lynn Olsen
GenderFemale
SpecialityUrology
Location15000 Midlantic Dr, Mount Laurel, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407340433
  • Provider Enumeration Date: 06/22/2018
  • Last Update Date: 09/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6406203835
  • Enrollment ID: I20231107002153

Medical Identifiers

Medical identifiers for Dr Kelly Lynn Olsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407340433NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology OT018756 (Pennsylvania)Secondary
208800000XUrology 25MB11909400 (New Jersey)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 Kelly Lynn Olsen allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

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 Kelly Lynn 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 AddressPractice Location Address
Dr Kelly Lynn Olsen, DO
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300		Dr Kelly Lynn Olsen, DO
15000 Midlantic Dr,
Mount Laurel, NJ 08054-1573

Ph: (877) 388-2778

Reviews and Comments


Urology Doctors in Mount Laurel, NJ

Dr. Adam Dean Perzin, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 15000 Midlantic Dr, Suite 100, Mount Laurel, NJ 08054
Phone: 856-252-1000    Fax: 856-252-1100
Nicole Ambrose, DO
Urology
Medicare: Medicare Enrolled
Practice Location: 15000 Midlantic Dr, Mount Laurel, NJ 08054
Phone: 877-388-2778    Fax: 856-252-1100
Dr. Paul Chialastri, D.O.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 15000 Midlantic Dr Ste 100, Mount Laurel, NJ 08054
Phone: 877-388-2778    Fax: 856-252-1100

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.