Mr Gordon S Olsen, DOPC - Medicare Orthopedic Surgery in Roosevelt, UT

Mr Gordon S Olsen, DOPC is a medicare enrolled "Orthopaedic Surgery" physician in Roosevelt, Utah. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Uintah Basin Medical Center, Northeastern Utah Medical Group and his current practice location is 210 W 300 N, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 722-4691.

Mr Gordon S Olsen is licensed to practice in Utah (license number 2689281204) 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 1235237744.

Contact Information

Mr Gordon S Olsen, DOPC
210 W 300 N,
Roosevelt, UT 84066-2336
(435) 722-4691
(435) 722-9291



Physician's Profile

Full NameMr Gordon S Olsen
GenderMale
SpecialityOrthopedic Surgery
Experience32 Years
Location210 W 300 N, Roosevelt, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Gordon S Olsen graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1235237744
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0547220915
  • Enrollment ID: I20050601000882

Medical Identifiers

Medical identifiers for Mr Gordon S Olsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235237744NPI-NPPES
117765600MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 2689281204 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Canyon Home CareSalt lake city, UTHome health agency
Uintah Basin Medical CenterRoosevelt, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Uintah Basin Medical Center024413194453
Northeastern Utah Medical Group296149660945

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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. Mr Gordon S Olsen allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079

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Entity NameUintah Basin Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871556217
PECOS PAC ID: 0244131944
Enrollment ID: O20040226000948

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Entity NameNortheastern Utah Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982664199
PECOS PAC ID: 2961496609
Enrollment ID: O20040414000471

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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. Mr Gordon S 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
Mr Gordon S Olsen, DOPC
210 W 300 N,
Roosevelt, UT 84066-2336

Ph: (435) 725-7448
Mr Gordon S Olsen, DOPC
210 W 300 N,
Roosevelt, UT 84066-2336

Ph: (435) 722-4691

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Orthopaedic Surgery Doctors in Roosevelt, UT


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