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Mark Vernon Olcott

Emergency Medicine

Allopathic & Osteopathic Physicians

10666 N Torrey Pines Rd, La Jolla, CA 92037-1027

PECOS Enrollment

This provider is enrolled in PECOS as MARK OLCOTT.

Based on the most recent information from CMS, provider Mark Vernon Olcott is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1669474417
Provider Type
Individual
Full Name
Olcott, Mark Vernon
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
8/11/2005
Last Updated
2/20/2019

Contact Information

Practice Location

10666 N Torrey Pines Rd, La Jolla, CA 92037-1027

(858) 554-5100

Unlisted Fax

Mailing Location

3609 Lotus Dr, San Diego, CA 92106-1136

(619) 261-7427

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A55234 California

Mark Vernon Olcott

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Schneir, Aaron

Eagle, Sonja Zoe Opal

Sornson, Rodney Drace

Purviance, Cynthia A.

Cardall, Taylor Y.

Clark, Richard F

Lepkowski, Gregory S.

Kozak, Thomas

Hayden, Stephen R

Deitch, Sean Aaron