John Leo Olsen, MD | |
1650 S 41st St, Manitowoc, WI 54220-7316 | |
(920) 320-2436 | |
Not Available |
Full Name | John Leo Olsen |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 18 Years |
Location | 1650 S 41st St, Manitowoc, Wisconsin |
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 |
---|---|---|---|
1033389085 | NPI | - | NPPES |
54385-020 | Other | WI | WI DRL |
6796526 | Other | UT | DOPL ACTIVE LICENSE, UTAH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 67965261205 (Utah) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 54385-020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Holy Family Memorial | Manitowoc, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Froedtert Manitowoc Medical Group, Llc | 2365836954 | 118 |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Entity Name | Froedtert Manitowoc Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
Mailing Address | Practice Location Address |
---|---|
John Leo Olsen, MD 1650 S 41st St, Manitowoc, WI 54220-7316 Ph: (920) 320-2436 | John Leo Olsen, MD 1650 S 41st St, Manitowoc, WI 54220-7316 Ph: (920) 320-2436 |
Dr. Basil P Spyropoulos, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 926 S 8th St, Manitowoc, WI 54220 Phone: 920-683-4230 | |
Dr. Krishna Bhatt, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3880 | |
Dr. Caroline Poirier, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 926 S 8th St, Manitowoc, WI 54220 Phone: 920-683-4230 Fax: 920-683-4243 | |
Dr. Geralyn Ann Carducci, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1020 Maritime Dr, Manitowoc, WI 54220 Phone: 920-769-0152 Fax: 920-769-0153 |