Dr Samuel John Olsen Ii, MD - Medicare Internal Medicine in Etowah, TN

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Dr Samuel John Olsen Ii, MD is a medicare enrolled "Internal Medicine" physician in Etowah, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 2001 and has 24 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Summit Medical Group, Pllc and his current practice location is 301 Grady Rd, Etowah, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 263-2444.

Dr Samuel John Olsen Ii is licensed to practice in Tennessee (license number 039591) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760448591.

Contact Information

Dr Samuel John Olsen Ii, MD
301 Grady Rd,
Etowah, TN 37331-0325
(423) 263-2444
(423) 263-1553

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Physician's Profile

Full NameDr Samuel John Olsen Ii
GenderMale
SpecialityInternal Medicine
Experience24 Years
Location301 Grady Rd, Etowah, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samuel John Olsen Ii attended and graduated from East Tennessee State University Quillen College Of Medicine in 2001
  NPI Data:
  • NPI Number: 1760448591
  • Provider Enumeration Date: 04/21/2006
  • Last Update Date: 11/07/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1951377324
  • Enrollment ID: I20050627001129

Medical Identifiers

Medical identifiers for Dr Samuel John Olsen Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760448591NPI-NPPES
3330104MedicaidTN
4108690OtherTNBCBS
P00237341OtherTNMEDICARE RR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 039591 (Tennessee)Primary
207RS0010XInternal Medicine - Sports Medicine 039591 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Camellia Home HealthKnoxville, TNHome health agency
Amedisys Home Health ChattanoogaChattanooga, TNHome health agency
Hearth, LlcChattanooga, TNHospice
Hospice Of Chattanooga IncChattanooga, TNHospice
Starr Regional Medical Center AthensAthens, TNHospital
Sweetwater Hospital AssociationSweetwater, TNHospital
University Of Tn Medical CenterKnoxville, TNHospital
Starr Regional Health & RehabilitationEtowah, TNNursing home
Life Care Center Of AthensAthens, TNNursing home
Etowah Health Care CenterEtowah, TNNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Pllc2860396330516

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 Samuel John Olsen Ii allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659090298
PECOS PAC ID: 2860396330
Enrollment ID: O20031125000793

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 Samuel John Olsen Ii 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 Samuel John Olsen Ii, MD
Po Box 325,
Etowah, TN 37331-0325

Ph: (423) 263-2444		Dr Samuel John Olsen Ii, MD
301 Grady Rd,
Etowah, TN 37331-0325

Ph: (423) 263-2444

Reviews and Comments


Internal Medicine Doctors in Etowah, TN

Dr. Russell Brandon Watters Iii, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 301 Grady Rd, Etowah, TN 37331
Phone: 423-263-2444    Fax: 423-263-1553
Dr. Nathan Craig Trentham, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 Grady Road, Etowah, TN 37331
Phone: 423-263-2444    Fax: 423-263-1553
Dr. Ghazali Ataullah Khan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 Grady Road, Etowah, TN 37331
Phone: 423-263-2444    Fax: 423-263-1553
Dr. Joel Craig Riley Ii, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 Grady Rd, Etowah, TN 37331
Phone: 423-263-2444    Fax: 423-263-1553

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.