Mr Gordon S Olsen, DOPC in Heber City, UT - Medicare Orthopedic Surgery

Mr Gordon S Olsen, DOPC is a medicare enrolled "Orthopaedic Surgery" physician in Heber City, Utah. He graduated from medical school in 1992 and has 33 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Evanston Clinic Corp and his current practice location is 454 E Medical Way, Heber City, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 722-4691.

Mr Gordon S Olsen is licensed to practice in Utah (license number 2689281204) 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 1235237744.

Contact Information

	Mr Gordon S Olsen, DOPC
	454 E Medical Way, Heber City, UT 84032-1391
	(435) 722-4691
	(435) 722-9291

Map and Direction

Physician's Profile

Full Name	Mr Gordon S Olsen
Gender	Male
Speciality	Orthopedic Surgery
Experience	33 Years
Location	454 E Medical Way, Heber City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Gordon S Olsen graduated from medical school in 1992

NPI Data:

NPI Number: 1235237744
Provider Enumeration Date: 09/20/2006
Last Update Date: 05/12/2025

Medicare PECOS Information:

PECOS PAC ID: 0547220915
Enrollment ID: I20041014000038

Medical Identifiers

Medical identifiers for Mr Gordon S Olsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235237744	NPI	-	NPPES
117765600	Medicaid	WY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	2689281204 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Evanston Clinic Corp	8325038094	25

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. Mr Gordon S Olsen allows following entities to bill medicare on his behalf.

Entity Name	Evanston Clinic Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013916519 PECOS PAC ID: 8325038094 Enrollment ID: O20040514000481

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. Mr Gordon S 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
Mr Gordon S Olsen, DOPC Po Box 30180, Salt Lake City, UT 84130-0180 Ph: () -	Mr Gordon S Olsen, DOPC 454 E Medical Way, Heber City, UT 84032-1391 Ph: (435) 722-4691

Mr Gordon S Olsen, DOPC - Medicare Orthopedic Surgery in Heber City, UT