Derrick Pratte Olzack (NPI# 1114456738, PAC ID# 2567730641) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1114456738 |
| PAC ID by PECOS | 2567730641 |
| Professional Enrollment ID | I20180607001798 |
| Full Name | Derrick Pratte Olzack |
| Organization Legal Name | ACUTE CARE SURGERY MEDICAL GROUP INC |
| Address |
50 N Perry St Pontiac MI 48342-2217 |
| Phone Number | 2483385000 |
| Gender | M |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7214006816 |
| Number of Group Practice Members | 85 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230105 | MCLAREN NORTHERN MICHIGAN |
| Address | Phone | Organization |
|---|---|---|
| 416 Connable Ave, Petoskey, MI 49770-2212 | 2314874000 | ACUTE CARE SURGERY MEDICAL GROUP INC |
| 50 N Perry St, Pontiac, MI 48342-2217 | 2483385000 | ACUTE CARE SURGERY MEDICAL GROUP INC |
| Organization Legal Name | ACUTE CARE SURGERY MEDICAL GROUP INC |
| Physicians | 68 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle B Cummings | Physician Assistant | Acute Care Surgery Medical Group Inc | 460 Gidney Ave, Newburgh, NY 12550-3117 |
| Richard Addison Kline | General Surgery | Acute Care Surgery Medical Group Inc | 150 N Jackson Ave, Suite 100, San Jose, CA 95116-1908 |
| Andrew Bayci | General Surgery | Acute Care Surgery Medical Group Inc | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Leon M Simms | Physician Assistant | Acute Care Surgery Medical Group Inc | 6555 Coyle Ave, Suite 220, Carmichael, CA 95608-0303 |
| Jason David Pasley | General Surgery | Acute Care Surgery Medical Group Inc | 50 N Perry St, Mclaren Oakland, Pontiac, MI 48342-2217 |
| Amir A Amiri | General Surgery | Acute Care Surgery Medical Group Inc | 726 4th St, Marysville, CA 95901-5656 |
| Kelly D Gonzales | General Surgery | Acute Care Surgery Medical Group Inc | 225 N Jackson Ave, San Jose, CA 95116-1603 |
| Thomas V Robb | General Surgery | Acute Care Surgery Medical Group Inc | 19 Laurel Ave, Cornwall, NY 12518-1403 |
| Theresa Zogakis | General Surgery | Acute Care Surgery Medical Group Inc | 726 4th St, Marysville, CA 95901-5656 |
| Donald P Prentiss | General Surgery | Acute Care Surgery Medical Group Inc | 50 N Perry St, Mclaren Oakland, Pontiac, MI 48342-2217 |
| Street Address |
50 N PERRY ST |
| City | PONTIAC |
| State | MI |
| Zip | 48342-2217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy L Kramer | Anesthesiology | Anesthesia Services Associates PC | 50 N Perry St, Mclaren Oakland, Pontiac, MI 48342-2217 |
| Baraa Alosh | Pathology | Flint Clinical Pathologist PC | 50 N Perry St, Pontiac, MI 48342-2253 |
| Ashley Marie Richardson | General Surgery | Mclaren Oakland | 50 N Perry St, Pontiac Osteopathic Hospital, Pontiac, MI 48342-2253 |
| Amy E Oneil | Cardiovascular Disease (cardiology) | Mclaren Oakland | 50 N Perry St, Pontiac Osteopathic Hospital, Pontiac, MI 48342-2253 |
| Olessya V Bolotov | Nurse Practitioner | Fadi Salloum Md PC | 50 N Perry St, Pontiac, MI 48342-2217 |
| Craig L Magnatta | Family Medicine | Mclaren Oakland | 50 N Perry St, Pontiac Osteopathic Hospital, Pontiac, MI 48342-2253 |
| Taylor G Walden | Optometry | 50 N Perry St, Hagerstown, IN 47346-1223 | |
| Erin T Martin | Physician Assistant | Mclaren Oakland | 50 N Perry St, Pontiac Osteopathic Hospital, Pontiac, MI 48342-2253 |
| Jason David Pasley | General Surgery | Acute Care Surgery Medical Group Inc | 50 N Perry St, Mclaren Oakland, Pontiac, MI 48342-2217 |
| Tara L Taylor | Physician Assistant | Mclaren Oakland | 50 N Perry St, Pontiac Osteopathic Hospital, Pontiac, MI 48342-2253 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan Keith Swilley | General Practice | 673 Martin Luther King Jr Blvd N, Pontiac, MI 48342-1679 | |
| Lawrence J Cowsill | Internal Medicine | Mclaren Oakland | 950 University Dr, Pontiac, MI 48342-1865 |
| Richard J Keirn | Internal Medicine | Mclaren Oakland | 950 University Dr, Pontiac, MI 48342-1865 |
| Herbert L Isaac Ii | Family Medicine | 989 University Dr, Suite 101, Pontiac, MI 48342-1885 | |
| Carmen L Cardona | General Practice | 989 University Dr, Suite 102, Pontiac, MI 48342-1885 | |
| Jigger Garcia | Nurse Practitioner | Fadi Salloum Md PC | 50 N Perry, Pontiac, MI 48342-2217 |
| David L Parsons | Emergency Medicine | Degara App Pllc | 50 N Perry St, Pontiac, MI 48342-2217 |
| Mariana G Manescu | Nurse Practitioner | Fadi Salloum Md PC | 50 N Perry St, Pontiac, MI 48342-2217 |
| Fadi Salloum | Internal Medicine | Fadi Salloum Md PC | 50 N Perry St, Pontiac, MI 48342-2217 |
| Maha Hassan | Emergency Medicine | Degara App Pllc | 50 N Perry St, Pontiac, MI 48342-2217 |
| Find all physicians in zip 48342 | |||
| City | PONTIAC |
| Zip Code | 48342 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PONTIAC + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Derrick Pratte Olzack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.