Dr Samuel John Olsen Ii, MD | |
301 Grady Rd, Etowah, TN 37331-0325 | |
(423) 263-2444 | |
(423) 263-1553 |
Full Name | Dr Samuel John Olsen Ii |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 23 Years |
Location | 301 Grady Rd, Etowah, Tennessee |
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 |
---|---|---|---|
1760448591 | NPI | - | NPPES |
3330104 | Medicaid | TN | |
4108690 | Other | TN | BCBS |
P00237341 | Other | TN | MEDICARE RR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 039591 (Tennessee) | Primary |
207RS0010X | Internal Medicine - Sports Medicine | 039591 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Camellia Home Health | Knoxville, TN | Home health agency |
Hearth, Llc | Chattanooga, TN | Hospice |
Starr Regional Medical Center Athens | Athens, TN | Hospital |
Starr Regional Health & Rehabilitation | Etowah, TN | Nursing home |
Life Care Center Of Athens | Athens, TN | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Medical Group, Pllc | 2860396330 | 515 |
Entity Name | Summit Medical Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel John Olsen Ii, MD Po Box 325, Etowah, TN 37331-0325 Ph: (423) 263-2444 | Dr Samuel John Olsen Ii, MD 301 Grady Rd, Etowah, TN 37331-0325 Ph: (423) 263-2444 |
Dr. Russell Brandon Watters Iii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Grady Rd, Etowah, TN 37331 Phone: 423-263-2444 Fax: 423-263-1553 | |
Dr. Nathan Craig Trentham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Grady Road, Etowah, TN 37331 Phone: 423-263-2444 Fax: 423-263-1553 | |
Dr. Ghazali Ataullah Khan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Grady Road, Etowah, TN 37331 Phone: 423-263-2444 Fax: 423-263-1553 | |
Dr. Joel Craig Riley Ii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Grady Rd, Etowah, TN 37331 Phone: 423-263-2444 Fax: 423-263-1553 |