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MR. DERRICK PRATTE OLZACK P.A.
NPI 1114456738
Family Medicine in Atwater, CA

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
1775 THIRD ST, ATWATER, CA 95301(209) 358-5611(209) 358-0219 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 7, 2017 (2 updates tracked since 2017).

About Mr. Derrick Pratte Olzack P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DERRICK PRATTE OLZACK P.A. (NPI 1114456738) is an individual family medicine provider in Atwater, California, licensed in California (54432) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2017).

NPPES Registry Identity

NPI1114456738
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. DERRICK PRATTE OLZACKCredential: P.A.
Location Address1775 THIRD STAtwater, CA 95301-3608
Mailing Address1775 3rd StAtwater, CA 95301-3608 · (209) 358-5611 · Fax (209) 358-0219
Phone(209) 358-5611
Fax(209) 358-0219
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2017
Enumeration DateJune 7, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1114456738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 54432
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1775 THIRD ST, Atwater, CA 95301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Derrick Pratte Olzack P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567730641
PECOS Enrollment IDI20191228000162
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Olzack's NPI number?

The NPI number for Derrick Olzack is 1114456738. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Derrick Olzack located?

Derrick Olzack practices at 1775 Third St, Atwater, CA 95301. The listed phone number is (209) 358-5611.

What is Derrick Olzack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Derrick Olzack enrolled in Medicare?

Yes. Derrick Olzack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Derrick Olzack was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.