Dr Kevin L Olson, MD | |
4197c Winchester Rd, Marshall, VA 20115-3252 | |
(540) 422-5782 | |
(540) 360-9889 |
Full Name | Dr Kevin L Olson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 4197c Winchester Rd, Marshall, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184600728 | NPI | - | NPPES |
1184600728 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101252020 (Virginia) | Primary |
Entity Name | Marshall Family Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023767902 PECOS PAC ID: 8628450285 Enrollment ID: O20220729001805 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin L Olson, MD 4197c Winchester Rd, Marshall, VA 20115-3252 Ph: (540) 422-5782 | Dr Kevin L Olson, MD 4197c Winchester Rd, Marshall, VA 20115-3252 Ph: (540) 422-5782 |
Dr. Norris A Royston Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8255 E Main St, Marshall, VA 20115 Phone: 540-364-1581 Fax: 540-364-7314 | |
Dr. Elizabeth Ann Hoebel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8255 E Main St, Marshall, VA 20115 Phone: 540-364-1581 Fax: 540-364-7314 | |
Dr. Thuy Lan Thi Olson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4197c Winchester Rd, Marshall, VA 20115 Phone: 540-422-5782 Fax: 540-360-9889 | |
Dr. Robert Bradford Houska, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8255 E Main Street, Marshall, VA 20115 Phone: 540-364-1581 Fax: 540-364-7314 |