Dr Blake Jerome Olson, DDS - Medicare Dentist in Redway, CA

Dr Blake Jerome Olson, DDS is a medicare enrolled "Dentist - General Practice" provider in Redway, California. His current practice location is 101 Westcoast Rd., Redway, California. You can reach out to his office (for appointments etc.) via phone at (707) 923-4313.

Dr Blake Jerome Olson is licensed to practice in California (license number 56610) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023290301.

Contact Information

Dr Blake Jerome Olson, DDS
101 Westcoast Rd.,
Redway, CA 95560
(707) 923-4313
(707) 923-2590



Healthcare Provider's Profile

Full NameDr Blake Jerome Olson
GenderMale
SpecialityDentist - General Practice
Location101 Westcoast Rd., Redway, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023290301
  • Provider Enumeration Date: 11/29/2007
  • Last Update Date: 11/29/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2365755766
  • Enrollment ID: I20150714001661

Medical Identifiers

Medical identifiers for Dr Blake Jerome Olson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023290301NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 56610 (California)Primary

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 Blake Jerome Olson 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 AddressPractice Location Address
Dr Blake Jerome Olson, DDS
101 Westcoast Road, P.o. Box 769,
Redway, CA 95560

Ph: (707) 953-4313
Dr Blake Jerome Olson, DDS
101 Westcoast Rd.,
Redway, CA 95560

Ph: (707) 923-4313

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› Verified 1 days ago


Dentist in Redway, CA

Renettra Angele Morris, D.D.S
Dentist
Medicare: Medicare Enrolled
Practice Location: 101 West Coast Rd. #a, Redway, CA 95560
Phone: 707-923-4313    
Dr. Steve A Norton, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 76 Briceland Rd, Redway, CA 95560
Phone: 707-923-9060    Fax: 707-923-9660
Dr. Lorraine Prisbrey, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 101 West Coast Rd., Redway, CA 95560
Phone: 707-923-4313    Fax: 707-923-2590
Dr. Judy Hulbert-anderson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 101 West Coast Rd., Redway, CA 95560
Phone: 707-923-4313    Fax: 707-923-2590
Dr. Matthew R Winkle, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 101 West Coast Road, Redwoods Rural Health Center, Redway, CA 95560
Phone: 707-923-2783    Fax: 707-923-1688
Dr. Frank J. Di Bari, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 76 Briceland Road, Redway, CA 95560
Phone: 707-923-9060    Fax: 707-923-9660

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