ALEX BRYAN OLSEN M.D. NPI 1003014044

Surgery (Surgical Critical Care) in Tulsa, OK

NPI 1003014044 Individual Male Years of Experience 15 Surgery Surgical Critical Care PECOS Enrolled Accepts Medicare Approved Payment

About ALEX OLSEN

Alex Olsen is a provider established in Tulsa, Oklahoma and his medical specialization is surgery (surgical critical care) with more than 15 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 2007. The NPI number of Alex Olsen is 1003014044 and was assigned on July 2007. The practitioner's primary taxonomy code is 2086S0102X with license number 35592 (OK). The provider is registered as an individual and his NPI record was last updated one year ago.

Alex Olsen is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Alex Olsen is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Saint Francis Hospital, Inc and Saint Francis Hospital Muskogee.

NPI

1003014044

Provider Name ALEX BRYAN OLSEN M.D.
Provider Location Address6161 S YALE AVE TULSA, OK 74136
Provider Mailing Address6600 S YALE AVE STE 1400 TULSA, OK 74136
GenderMale
NPI Entity TypeIndividual
Medical School NameTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-10-2007
Last Update Date10-05-2020


Primary Taxonomy

Taxonomy Code2086S0102X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
SpecializationSurgical Critical Care
License No.35592
License StateOK
Taxonomy DescriptionA surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Business Address

ALEX BRYAN OLSEN M.D.
6161 S YALE AVE
TULSA, OK
ZIP 74136
Phone: (918) 494-1805
Fax: (918) 494-4573

Get Directions


Mailing Address

ALEX BRYAN OLSEN M.D.
6600 S YALE AVE STE 1400
TULSA, OK
ZIP 74136
Phone: (888) 247-0125
Fax: (918) 502-8001



Secondary Locations

350 W Thomas Rd Dept. of General Surgery
Phoenix, AZ 85013
(602) 406-6540

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1355663238
PECOS Enrollment IDI20200715002837
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Alex Olsen is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SAINT FRANCIS HOSPITAL, INC6161 SOUTH YALE
TULSA, OK 74136
(918) 494-2200Acute Care Hospitals370091
SAINT FRANCIS HOSPITAL MUSKOGEE300 ROCKEFELLER DRIVE
MUSKOGEE, OK 74401
(918) 682-5501Acute Care Hospitals370025

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208600000XAllopathic & Osteopathic PhysiciansSurgeryR70161AZNo

Taxonomy Description: a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
200910850AMEDICAID (05)OK

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427053859DR. JOBST GEBHARD BLUM MD
Individual
Anesthesiology6161 S YALE AVE
TULSA, OK 74136
(918) 494-1980
1245227123DR. ETHAN WARLICK M.D.
Individual
Pediatrics6161 S YALE AVE CHUCC
TULSA, OK 74136
(918) 494-2553
1073500971DR. CARL ELLISON M.D.
Individual
Pediatrics6161 S YALE AVE CHUCC
TULSA, OK 74136
(918) 494-2553
1285622464DR. MICHELLE C BROTHERTON MD
Individual
Obstetrics & Gynecology6161 S YALE AVE
TULSA, OK 74136
(918) 494-2226
1740265347SAINT FRANCIS OUTREACH SERVICES LLC
Organization
Clinical Medical Laboratory6161 S YALE AVE
TULSA, OK 74136
(918) 494-2200
1689659823 ROGER PHIL BARTON M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)6161 S YALE AVE
TULSA, OK 74136
(918) 494-5491
1730164849SAINT FRANCIS HOSPITAL INC.
Organization
Skilled Nursing Facility6161 S YALE AVE
TULSA, OK 74136
(918) 494-2200
1255317871 KIMBERLY JO BENNETT D.O.
Individual
Internal Medicine6161 S YALE AVE
TULSA, OK 74136
(918) 494-5346
1184601619 JOHNNY M FOWLER M.D.
Individual
Internal Medicine6161 S YALE AVE
TULSA, OK 74136
(918) 494-5346
1922075241 JAMES DAMON SMITH D.O.
Individual
Internal Medicine6161 S YALE AVE
TULSA, OK 74136
(918) 494-5346
1548222375DR. DAVID BEYNON THOMAS III M.D.
Individual
Surgery6161 S YALE AVE
TULSA, OK 74136
(918) 494-8467
1609833615EMERGENCY CARE INC.
Organization
Clinic/Center (Medical Specialty)6161 S YALE AVE ER DEPT.
TULSA, OK 74136
(918) 494-1817
1487611919 LORI JESSICA WHELAN M.D.
Individual
Emergency Medicine (Emergency Medical Services)6161 S YALE AVE ER DEPT
TULSA, OK 74136
(918) 494-1817
1619934221 LUSTER I. JACOBS MD
Individual
Emergency Medicine6161 S YALE AVE ER DEPT
TULSA, OK 74136
(918) 494-6528
1255399317 JAMES J. WOLFE MD
Individual
Emergency Medicine6161 S YALE AVE ER DEPT
TULSA, OK 74136
(918) 494-1817
1710945878 HOWARD ROEMER MD
Individual
Emergency Medicine6161 S YALE AVE ER DEPT
TULSA, OK 74136
(918) 494-6528
1174581193 MARY H. THOMPSON MD
Individual
Emergency Medicine6161 S YALE AVE ER DEPT
TULSA, OK 74136
(918) 494-6528
1821056672 FRANK M. THOMAS PA
Individual
Physician Assistant6161 S YALE AVE C/O SAINT FRANCIS HOSPITAL
TULSA, OK 74136
(918) 494-6161
1811943517 KATHERINE L MCGRANAHAN C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered6161 S YALE AVE
TULSA, OK 74136
(918) 494-1980
1972542132MS. KATHRYN ANN PERRY R.N.
Individual
Clinical Nurse Specialist (Pediatrics)6161 S YALE AVE
TULSA, OK 74136
(918) 494-2200

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.