Derek Olson, DO | |
4444 Kalamazoo Ave Se Ste 200, Kentwood, MI 49508 | |
(616) 391-5600 | |
Not Available |
Full Name | Derek Olson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 24 Years |
Location | 4444 Kalamazoo Ave Se Ste 200, Kentwood, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770553901 | NPI | - | NPPES |
036113363 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 5101014512 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spectrum Health | Grand rapids, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spectrum Health Primary Care Partners | 4587568647 | 1590 |
Entity Name | Spectrum Health Primary Care Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
Mailing Address | Practice Location Address |
---|---|
Derek Olson, DO 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Derek Olson, DO 4444 Kalamazoo Ave Se Ste 200, Kentwood, MI 49508 Ph: (616) 391-5600 |
Kevin Mccormick, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4444 Kalamazoo Ave Se, Kentwood, MI 49508 Phone: 616-391-5600 Fax: 616-391-5685 | |
James A. Geissler, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4444 Kalamazoo Ave Se, Kentwood, MI 49508 Phone: 616-391-5600 Fax: 616-391-5685 | |
John N Campbell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1676 Viewpond Dr Se, Suite 100a, Kentwood, MI 49508 Phone: 616-455-9450 Fax: 616-455-5221 | |
Michael T Stout, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4444 Kalamazoo Ave Se, Kentwood, MI 49508 Phone: 616-391-5600 Fax: 616-391-5685 | |
Pragyan Patro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4444 Kalamazoo Ave Se Ste 200, Kentwood, MI 49508 Phone: 616-391-5600 | |
Marcus G. Beversluis, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4444 Kalamazoo Ave Se, Kentwood, MI 49508 Phone: 616-391-5600 Fax: 616-391-5685 | |
Carol Ann Pisarello, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4444 Kalamazoo Ave Se, Kentwood, MI 49508 Phone: 616-391-5600 Fax: 616-391-5685 |