Dr Tory John Olsen, MD in Renton, WA - Medicare Student in an Organized Health Care Education/Training Program

Dr Tory John Olsen, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Renton, Washington. His current practice location is 400 S 43rd St, Renton, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 656-4224.

Dr Tory John Olsen is licensed to practice in Washington (license number ML60770411) 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 1003336686.

Contact Information

	Dr Tory John Olsen, MD
	400 S 43rd St, Renton, WA 98055-5714
	(425) 656-4224
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tory John Olsen
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	400 S 43rd St, Renton, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003336686
Provider Enumeration Date: 06/23/2017
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 4981976560
Enrollment ID: I20201109002077

Medical Identifiers

Medical identifiers for Dr Tory John Olsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003336686	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ML60770411 (Washington)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	ML60770411 (Washington)	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 Tory John Olsen allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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 Tory John 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 Address	Practice Location Address
Dr Tory John Olsen, MD 400 S 43rd St, Renton, WA 98055-5714 Ph: (425) 656-4224	Dr Tory John Olsen, MD 400 S 43rd St, Renton, WA 98055-5714 Ph: (425) 656-4224

Dr Tory John Olsen, MD - Medicare Student in an Organized Health Care Education/Training Program in Renton, WA