| Jay Edward Olsson, DO PROF ASSOCIATIONN | |
|
401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 | |
| (321) 242-9031 | |
| (321) 242-9035 |
| Full Name | Jay Edward Olsson |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 48 Years |
| Location | 401 N Wickham Rd, Melbourne, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144264904 | NPI | - | NPPES |
| 045794900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | OS0004087 (Florida) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | OS4087 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Privia Medical Group, Llc | 3173965993 | 192 |
| Jay E. Olsson, D.o., P.a. | 4880680305 | 2 |
| Entity Name | Jay E. Olsson, D.o., P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366463226 PECOS PAC ID: 4880680305 Enrollment ID: O20040421001074 |
| Entity Name | Health First Privia Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700649043 PECOS PAC ID: 3173965993 Enrollment ID: O20240524002147 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Edward Olsson, DO PROF ASSOCIATIONN 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 Ph: (321) 242-9031 | Jay Edward Olsson, DO PROF ASSOCIATIONN 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 Ph: (321) 242-9031 |
Dr. Dionne Docile Casthely, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 101 E Florida Ave, Melbourne, FL 32901 Phone: 321-872-8770 Fax: 321-574-3815 | |
Mary Lou Mcintyre, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6845 Murrell Rd, Melbourne, FL 32940 Phone: 786-770-9480 | |
Pamela Dorman, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 8725 N Wickham Rd Ste 301, Melbourne, FL 32940 Phone: 321-434-9200 | |
Dr. Mahathy Katukuri, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 101 E Florida Ave, Melbourne, FL 32901 Phone: 321-984-4600 | |
John C Madlener, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 903 Jordan Blass Dr, Suite 102, Melbourne, FL 32940 Phone: 321-751-5351 Fax: 321-751-5370 | |
Nicholas Louis Giordano, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 395 S Wickham Rd, Melbourne, FL 32904 Phone: 321-802-5021 Fax: 321-802-4999 |