Clinton D Olsen, DNP, NP-C - Medicare Anesthesiology in Provo, UT

Clinton D Olsen, DNP, NP-C is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Provo, Utah. His current practice location is 280 W River Park Dr, Suite 200, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 223-4860.

Clinton D Olsen is licensed to practice in Utah (license number 66883094405) 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 1225387491.

Contact Information

Clinton D Olsen, DNP, NP-C
280 W River Park Dr, Suite 200,
Provo, UT 84604-5793
(801) 223-4860
(801) 371-8993



Physician's Profile

Full NameClinton D Olsen
GenderMale
SpecialityAnesthesiology - Pain Medicine
Location280 W River Park Dr, Provo, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225387491
  • Provider Enumeration Date: 09/04/2012
  • Last Update Date: 09/04/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 9830348671
  • Enrollment ID: I20121206000000

Medical Identifiers

Medical identifiers for Clinton D Olsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225387491NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207LP2900XAnesthesiology - Pain Medicine 66883094405 (Utah)Primary
207LP2900XAnesthesiology - Pain Medicine 66883098900 (Utah)Secondary

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. Clinton D Olsen allows following entities to bill medicare on his behalf.
Entity NameSpinal Interventions, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053336917
PECOS PAC ID: 3476513417
Enrollment ID: O20041014000518

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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. Clinton D 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 AddressPractice Location Address
Clinton D Olsen, DNP, NP-C
280 River Park Dr, Suite 200,
Provo, UT 84604-5764

Ph: (801) 223-4860
Clinton D Olsen, DNP, NP-C
280 W River Park Dr, Suite 200,
Provo, UT 84604-5793

Ph: (801) 223-4860

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Anesthesiology Doctors in Provo, UT

Dr. Daniel Rey Faber, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 280 River Park Dr, #200, Provo, UT 84604
Phone: 801-223-4860    Fax: 801-371-8993
John B Zimmerman, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604
Phone: 801-507-5248    Fax: 801-733-5618
David Groesbeck, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604
Phone: 801-507-5248    Fax: 801-733-5618
Carl Thayne Wilson, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604
Phone: 801-507-5248    Fax: 801-733-5618
Mr. Matthew David Wagaman, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-357-7850    Fax: 770-701-6675
Mitchell D Albrecht, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1034 N 500 W, Provo, UT 84004
Phone: 801-993-9582    Fax: 801-733-5618
Mark Critchfield, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604
Phone: 801-507-5248    Fax: 801-733-5618

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