Dr Randy Shane Olli, MD in Iron Mountain, MI

Dr Randy Shane Olli, MD is a medicare enrolled "Family Medicine" physician in Iron Mountain, Michigan. His current practice location is 325 E H St, Iron Mountain, Michigan. You can reach out to his office (for appointments etc.) via phone at (906) 774-3300.

Dr Randy Shane Olli is licensed to practice in Michigan (license number 4301060059) 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 1366475931.

Contact Information

	Dr Randy Shane Olli, MD
	325 E H St, Iron Mountain, MI 49801-4760
	(906) 774-3300
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Randy Shane Olli
Gender	Male
Speciality	Family Medicine
Location	325 E H St, Iron Mountain, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366475931
Provider Enumeration Date: 07/08/2006
Last Update Date: 09/07/2020

Medicare PECOS Information:

PECOS PAC ID: 6305012139
Enrollment ID: I20111229000111

Medical Identifiers

Medical identifiers for Dr Randy Shane Olli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366475931	NPI	-	NPPES
0G71004	Other	MI	RHC BC NUMBER
0G76001	Other	MI	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301060059 (Michigan)	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 Randy Shane Olli allows following entities to bill medicare on his behalf.

Entity Name	Schoolcraft Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700805157 PECOS PAC ID: 4082525118 Enrollment ID: O20040303000389

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 Randy Shane Olli 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 Randy Shane Olli, MD 325 E H St, Iron Mountain, MI 49801-4760 Ph: (906) 774-3300	Dr Randy Shane Olli, MD 325 E H St, Iron Mountain, MI 49801-4760 Ph: (906) 774-3300

Reviews and Comments

Family Medicine Doctors in Iron Mountain, MI

Robert G. Scharffenberg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 325 H. Street, Vamc, Im, Iron Mountain, MI 49801 Phone: 906-774-3300
Gregory William Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300
Ellen E Van Laanen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Woodward Ave, Iron Mountain, MI 49801 Phone: 906-776-9040 Fax: 906-774-7279
Dr. Beth Ann Schroeder, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801 Phone: 906-774-1633 Fax: 906-774-4451
Dr. Daniel J Mcmahon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Woodward Ave, Iron Mountain, MI 49801 Phone: 906-776-9040 Fax: 906-774-7279
Dr. Aldo John Domenichini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300
Dr. Daniel M Mitchell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801 Phone: 906-774-1633 Fax: 906-774-4451

Dr Randy Shane Olli, MD - Medicare Family Medicine in Iron Mountain, MI