Jaqueline Sherry Olczak, MD - Medicare Family Practice in Coon Rapids, MN

Jaqueline Sherry Olczak, MD is a medicare enrolled "Family Medicine" physician in Coon Rapids, Minnesota. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Allina Health System and her current practice location is 9055 Springbrook Dr Nw, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 780-9155.

Jaqueline Sherry Olczak is licensed to practice in Minnesota (license number 39401) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104888411.

Contact Information

Jaqueline Sherry Olczak, MD
9055 Springbrook Dr Nw,
Coon Rapids, MN 55433-5841
(763) 780-9155
Not Available



Physician's Profile

Full NameJaqueline Sherry Olczak
GenderFemale
SpecialityFamily Practice
Experience30 Years
Location9055 Springbrook Dr Nw, Coon Rapids, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jaqueline Sherry Olczak graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1104888411
  • Provider Enumeration Date: 04/03/2006
  • Last Update Date: 11/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6406086073
  • Enrollment ID: I20140226001563

Medical Identifiers

Medical identifiers for Jaqueline Sherry Olczak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104888411NPI-NPPES
777825200MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 39401 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy HospitalCoon rapids, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allina Health System45875736133071

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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. Jaqueline Sherry Olczak allows following entities to bill medicare on her behalf.
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460

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Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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› Verified 2 days ago

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. Jaqueline Sherry Olczak 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
Jaqueline Sherry Olczak, MD
2925 Chicago Ave, Mr 10809,
Minneapolis, MN 55407-1321

Ph: (612) 262-4813
Jaqueline Sherry Olczak, MD
9055 Springbrook Dr Nw,
Coon Rapids, MN 55433-5841

Ph: (763) 780-9155

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› Verified 2 days ago


Family Medicine Doctors in Coon Rapids, MN

Dr. Oladepo Collins Fasoranti, MBBS
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11475 Robinson Drive Nw - Mailstop 32600a, Healthpartners Coon Rapids Clinic, Coon Rapids, MN 55433
Phone: 763-587-9000    Fax: 763-587-9130
Mark H. Brakke, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433
Phone: 763-780-9155    
Kelly Ann Mcteague, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433
Phone: 763-780-9155    
Alena V Marozava, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433
Phone: 763-780-9155    
Dr. Matthew Varner, M.D., M.P.H.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433
Phone: 763-780-9155    
Emily Nicole Hicke, PA
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433
Phone: 763-780-9155    

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