Dr Benjy Olsen, DPM is a medicare enrolled "Podiatrist" provider in Detroit Lakes, Minnesota. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice St Marys Regional Health Center and his current practice location is
1027 Washington Ave, Detroit Lakes, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(188) 475-6112.
Dr Benjy Olsen is licensed to practice in Minnesota (license number 770) 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 1205889417.
Healthcare Provider's Profile
| Full Name | Dr Benjy Olsen |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 21 Years |
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| Location | 1027 Washington Ave, Detroit Lakes, Minnesota |
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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. |
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Medical Education and Training:
- Dr Benjy Olsen graduated from medical school in 2003
NPI Data:
- NPI Number: 1205889417
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 10/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496759995
- Enrollment ID: I20161201001165
Medical Identifiers
Medical identifiers for Dr Benjy Olsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205889417 | NPI | - | NPPES |
| 6800722 | Medicaid | SD | |
| 0293209 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 187 (South Dakota) | Secondary |
| 213E00000X | Podiatrist | 00764 (Iowa) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | 770 (Minnesota) | Secondary |
| 213E00000X | Podiatrist | 770 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Marys Regional Health Center | 2062326820 | 159 |
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. Dr Benjy Olsen allows following entities to bill medicare on his behalf.
| Provider Name | St Joseph Foot Clinic Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1568400216
PECOS PAC ID: 9234132630
Enrollment ID: O20060823000632 |
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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. Dr Benjy 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 |
|---|
Dr Benjy Olsen, DPM
1702 University Dr S,
Fargo, ND 58103-4940
Ph: () - | Dr Benjy Olsen, DPM
1027 Washington Ave,
Detroit Lakes, MN 56501-3409
Ph: (188) 475-6112 |
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