MEDICARE: MS. EMILY JUNE HELIOTIS OLSEN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0127X	Trauma Surgery Physician	027044	NY
2	363A00000X	Physician Assistant	027044	NY
3	363AS0400X	Surgical Physician Assistant	027044	NY
4	363A00000X	Physician Assistant	PA05977	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9335999	OTHER	FL	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	Y0H3M	OTHER	FL	BCBS OF FL
4	P1006512	OTHER	FL	FREEDOM HEALTH
5	27369	OTHER	FL	MEDICA
6	5111129	OTHER	FL	CIGNA
7	P0016099	OTHER	FL	FLORIDA HEALTHCARE PLUS
8	P946423	OTHER	FL	OPTIMUM
9	P01176026	OTHER	FL	RAILROAD MCR

General Provider Information

NPI Number	:	1437302833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EMILY JUNE HELIOTIS OLSEN PA-C

Provider Business Mailing Address
First Line	:	5400 BAYTHORNE DR UNIT B
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78747-3775
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3906 N LAMAR BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-4025
Country	:	US
Telephone Number	:	512-861-8040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2008
Last Update Date	:	01/23/2025

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Directions to “ MS. EMILY JUNE HELIOTIS OLSEN PA-C” Practice Location

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