Jacqueline Sherry Olczak, MD in Coon Rapids, MN

Jacqueline Sherry Olczak, MD is a medicare enrolled "Family Medicine" physician in Coon Rapids, Minnesota. She graduated from medical school in 1994 and has 31 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Allina Health System and her current practice location is 9055 Springbrook Dr Nw, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 780-9155.

Jacqueline Sherry Olczak is licensed to practice in Minnesota (license number 39401) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104888411.

Contact Information

	Jacqueline Sherry Olczak, MD
	9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841
	(763) 780-9155
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacqueline Sherry Olczak
Gender	Female
Speciality	Family Practice
Experience	31 Years
Location	9055 Springbrook Dr Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Sherry Olczak graduated from medical school in 1994

NPI Data:

NPI Number: 1104888411
Provider Enumeration Date: 04/03/2006
Last Update Date: 07/16/2024

Medicare PECOS Information:

PECOS PAC ID: 6406086073
Enrollment ID: I20140226001563

Medical Identifiers

Medical identifiers for Jacqueline Sherry Olczak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104888411	NPI	-	NPPES
777825200	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	39401 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Abbott Northwestern Hospital	Minneapolis, MN	Hospital
Mercy Hospital	Coon rapids, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3584

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. Jacqueline Sherry Olczak allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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. Jacqueline Sherry Olczak 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
Jacqueline Sherry Olczak, MD 2925 Chicago Ave, Mr 10809, Minneapolis, MN 55407-1321 Ph: (612) 262-4813	Jacqueline Sherry Olczak, MD 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 Ph: (763) 780-9155

Reviews and Comments

Family Medicine Doctors in Coon Rapids, MN

Dr. Oladepo Collins Fasoranti, MBBS Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11475 Robinson Drive Nw - Mailstop 32600a, Healthpartners Coon Rapids Clinic, Coon Rapids, MN 55433 Phone: 763-587-9000 Fax: 763-587-9130
Mark H. Brakke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Kelly Ann Mcteague, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Alena V Marozava, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Rebecca May Mcdougle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11475 Robinson Dr Nw, Coon Rapids, MN 55433 Phone: 763-587-9000 Fax: 763-587-9130
Dr. Matthew Varner, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Emily Nicole Hicke, PA Family Medicine Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155

Jacqueline Sherry Olczak, MD - Medicare Family Practice in Coon Rapids, MN