Kellie Olson, | |
11234 Anderson St, Loma Linda, CA 92354 | |
(909) 558-4344 | |
Not Available |
Full Name | Kellie Olson |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 25 Years |
Location | 11234 Anderson St, Loma Linda, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346281946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD00043240 (Washington) | Primary |
207P00000X | Emergency Medicine | A100120 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
Adventist Health Howard Memorial | Willits, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pacific Redwood Medical Group Inc | 5496652703 | 45 |
Entity Name | Pacific Redwood Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033103676 PECOS PAC ID: 5496652703 Enrollment ID: O20031215000997 |
Entity Name | Pacific Redwood Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295924470 PECOS PAC ID: 6204913767 Enrollment ID: O20080408000421 |
Mailing Address | Practice Location Address |
---|---|
Kellie Olson, Po Box 2000, 11234 Anderson St Room Mc-a108, Loma Linda, CA 92354 Ph: (909) 558-4344 | Kellie Olson, 11234 Anderson St, Loma Linda, CA 92354 Ph: (909) 558-4344 |
Deborah Lee Behringer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Cp 21005, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Dr. Kristina Kyle, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Street, Loma Linda University Health - Emergency Medicine, Loma Linda, CA 92354 Phone: 909-558-4085 | |
Andrew Simmons, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11210 Benton St, Loma Linda, CA 92354 Phone: 023-500-8542 | |
Eric Theodore Teacher, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, House Staff Office Cp 21005, Loma Linda, CA 92354 Phone: 909-558-8131 | |
Carol Conceicao, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Grace J Kim, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4344 | |
Lynda Daniel-underwood, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4344 |