Olive Plhak, is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Bronx, New York. Her current practice location is
111 E 210th St, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 920-4321.
Olive Plhak is licensed to practice in New York (license number F383019-01) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114564937.
Physician's Profile
| Full Name | Olive Plhak |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 111 E 210th St, Bronx, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114564937
- Provider Enumeration Date: 12/01/2019
- Last Update Date: 03/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941605844
- Enrollment ID: I20210816001496
Medical Identifiers
Medical identifiers for Olive Plhak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114564937 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | F383019-01 (New York) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | F383019-01 (New York) | 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. Olive Plhak allows following entities to bill medicare on her behalf.
| Entity Name | Montefiore Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
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| Entity Name | North Shore-lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
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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. Olive Plhak 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 |
Olive Plhak, 111 E 210th St, Bronx, NY 10467-2401 Ph: (718) 920-4321 | Olive Plhak, 111 E 210th St, Bronx, NY 10467-2401 Ph: (718) 920-4321 |
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