Ivan Y Olesh, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Camillus, New York. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice St Josephs Medical Pc and his current practice location is
3399 Warners Rd, Camillus, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 460-5872.
Ivan Y Olesh is licensed to practice in NU (license number ) 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 1215565668.
Provider's Profile
| Full Name | Ivan Y Olesh |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 3399 Warners Rd, Camillus, New York |
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| 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:
- Ivan Y Olesh graduated from nursing school in 2020
NPI Data:
- NPI Number: 1215565668
- Provider Enumeration Date: 03/31/2020
- Last Update Date: 12/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 5890108955
- Enrollment ID: I20210108001768
Medical Identifiers
Medical identifiers for Ivan Y Olesh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215565668 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 025978 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St Josephs Medical Pc | 4688855844 | 388 |
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. Ivan Y Olesh allows following entities to bill medicare on his behalf.
| Entity Name | United Medical Associates PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020 |
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| Entity Name | United Health Services Hospitals, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
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| Entity Name | St Josephs Medical PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744 |
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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. Ivan Y Olesh 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 |
Ivan Y Olesh, 3399 Warners Rd, Camillus, NY 13031-9649 Ph: (315) 460-5872 | Ivan Y Olesh, 3399 Warners Rd, Camillus, NY 13031-9649 Ph: (315) 460-5872 |
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