DR. ALEXIS B OLSSON DDS NPI 1598753212

Oral & Maxillofacial Surgery in Chicago, IL

NPI 1598753212 Individual Male Oral & Maxillofacial Surgery PECOS Enrolled

About ALEXIS OLSSON

Alexis Olsson is a provider established in Chicago, Illinois and his medical specialization is oral & maxillofacial surgery. The NPI number of Alexis Olsson is 1598753212 and was assigned on October 2005. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an individual and his NPI record was last updated 14 years ago.

Alexis Olsson 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.

Alexis Olsson is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1598753212

Provider NameDR. ALEXIS B OLSSON DDS
Provider Location Address201 E HURON ST 12-100 CHICAGO, IL 60611
Provider Mailing Address201 E HURON ST 12-100 CHICAGO, IL 60611
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date10-06-2005
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code204E00000X
ClassificationOral & Maxillofacial Surgery
TypeAllopathic & Osteopathic Physicians
License StateIL
Taxonomy DescriptionOral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Business Address

DR. ALEXIS B OLSSON DDS
201 E HURON ST
12-100
CHICAGO, IL
ZIP 60611
Phone: (312) 926-6333
Fax: (312) 926-3444

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Mailing Address

DR. ALEXIS B OLSSON DDS
201 E HURON ST
12-100
CHICAGO, IL
ZIP 60611
Phone: (312) 926-6333
Fax: (312) 926-3444



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.
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

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
U34928MEDICARE UPIN (02)
986840MEDICARE ID-TYPE UNSPECIFIED (04)

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1295732857DR. MICHAEL MARK MINIEKA M.D.
Individual
Psychiatry & Neurology (Neurology)201 E HURON ST STE 11-100
CHICAGO, IL 60611
(312) 926-3731
1346223922MS. ANNE FUREY SCHULTZ M.D.
Individual
Internal Medicine201 E HURON ST SUITE 12-105
CHICAGO, IL 60611
(312) 926-3627
1821073172DR. EDWARD J. OLINGER M.D.
Individual
Internal Medicine (Gastroenterology)201 E HURON ST SUITE 12-200
CHICAGO, IL 60611
(312) 926-3616
1548247794DR. EUSTATHIA J. PANOUSHIS M.D.
Individual
Pediatrics201 E HURON ST GALTER AMBULATORY PAVILLION SUITE 12-260
CHICAGO, IL 60611
(312) 926-9570
1164491858 ELIZABETH J LAVOO M.D.
Individual
Dermatology201 E HURON ST GALTER PAV 11-230
CHICAGO, IL 60611
(312) 642-6868
1104888700DR. THOMAS A. STOCKERT M.D.
Individual
Internal Medicine201 E HURON ST STE 12-205
CHICAGO, IL 60611
(312) 944-0688
1952367054 JAMES HENRY COHN MD
Individual
Internal Medicine201 E HURON ST SUITE 11-200
CHICAGO, IL 60611
(312) 943-8566
1447216544 JOHN PATTERSON GERBER M.D.
Individual
Psychiatry & Neurology (Psychiatry)201 E HURON ST SUITE 11-100
CHICAGO, IL 60611
(312) 695-0448
1891749776 SENTA BERGGRUEN MD
Individual
Radiology (Diagnostic Radiology)201 E HURON ST 4TH FLOOR
CHICAGO, IL 60611
(312) 695-3755
1891740627 GREGORY E BRISSON M.D.
Individual
Internal Medicine201 E HURON ST 12TH FLOOR, SUITE 105
CHICAGO, IL 60611
(312) 926-6146
1780639930 ERIC BREHM M.D.
Individual
Internal Medicine201 E HURON ST 12TH FLOOR , SUITE 105
CHICAGO, IL 60611
(312) 926-3627
1386690857 ANITA CHANDRA-PURI
Individual
Pediatrics201 E HURON ST 12TH FL. SUITE 130
CHICAGO, IL 60611
(312) 926-7028
1962440727DR. FRANCISCO ALBERTO GUTIERREZ MD
Individual
Specialist201 E HURON ST SUITE 9-160
CHICAGO, IL 60611
(312) 926-3430
1912947458 DANIEL M DERMAN M.D.
Individual
Internal Medicine201 E HURON ST 12TH FLOOR, SUITE 105
CHICAGO, IL 60611
(312) 926-3642
1972544328 PETER A LECHMAN M.D.
Individual
Pediatrics201 E HURON ST 12TH FLOOR, SUITE 130
CHICAGO, IL 60611
(312) 926-7028
1790726651 ALYSE EYTAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)201 E HURON ST 9-235
CHICAGO, IL 60611
(312) 926-3540
1538102652 THERESA KARACIC M.D.
Individual
Pediatrics201 E HURON ST 12TH FLOOR, SUITE 130
CHICAGO, IL 60611
(312) 926-7028
1447295092 JOAN MANKOWSKI MD
Individual
Internal Medicine201 E HURON ST 5TH FLOOR, SUITE 110
CHICAGO, IL 60611
(312) 926-6433
1215973599 KELLYN MARKS M.D.
Individual
Internal Medicine201 E HURON ST 12TH FL SUITE 105
CHICAGO, IL 60611
(312) 926-5111
1194751461 CHRISTINE E ORDERS M.D.
Individual
Internal Medicine201 E HURON ST 12TH FLOOR, SUITE 105
CHICAGO, IL 60611
(312) 926-5111

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.