Dr Richard William Olson, MD | |
125 Mascoma Street, Alice Peck Day Memorial Hospital, Lebanon, NH 03766 | |
(603) 448-7410 | |
Not Available |
Full Name | Dr Richard William Olson |
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Gender | Male |
Speciality | Anesthesiology |
Location | 125 Mascoma Street, Lebanon, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891876975 | NPI | - | NPPES |
1009152 | Medicaid | NH | |
01Y004072NH02 | Other | NH | ANTHEM BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD15277 (Maine) | Primary |
207L00000X | Anesthesiology | 11425 (New Hampshire) | Secondary |
Entity Name | Medstream Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20170817001824 |
Mailing Address | Practice Location Address |
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Dr Richard William Olson, MD 127 Trillium Trl, Bangor, ME 04401-2150 Ph: () - | Dr Richard William Olson, MD 125 Mascoma Street, Alice Peck Day Memorial Hospital, Lebanon, NH 03766 Ph: (603) 448-7410 |
Marbelia C Gonzalez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 | |
Regina Lee Gritsavage, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Dhmc, Lebanon, NH 03756 Phone: 603-650-5000 | |
Tabitha Antoinette Washington, M.D., B.S. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc Department Of Anesthesiology, Pain Medicine, Lebanon, NH 03756 Phone: 603-650-6040 Fax: 603-650-8199 | |
Dr. Vinca Wing Kar Chow, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Drive, Dartmouth Hitchcock-anesthesiology & Pain Medicine, Lebanon, NH 03756 Phone: 603-650-6177 | |
Dr. Kimberly Youngren, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 | |
Stacie G Deiner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922 | |
Wenzel D Kovarik, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922 |