Mary Catherine Olmsted, MD | |
71 S Flannagan Ave, Lebanon, VA 24266 | |
(276) 883-8042 | |
(276) 883-8044 |
Full Name | Mary Catherine Olmsted |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 71 S Flannagan Ave, Lebanon, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508204835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 0101240622 (Virginia) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 52544 (Tennessee) | Primary |
Entity Name | Wellmont Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
Mailing Address | Practice Location Address |
---|---|
Mary Catherine Olmsted, MD James H Quillen Va Medical Center, Lamont St. & Veterans Way, Johnson City, TN 37604 Ph: (423) 926-1171 | Mary Catherine Olmsted, MD 71 S Flannagan Ave, Lebanon, VA 24266 Ph: (276) 883-8042 |
Dr. Edgar Michael Kahn, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 71 S Flannagan Ave, Lebanon, VA 24266 Phone: 276-883-8042 Fax: 276-883-8044 | |
Dr. Anne C Dibala, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 71 S Flannagan Avenue, Lebanon, VA 24266 Phone: 276-883-8042 Fax: 276-883-8044 | |
Alfredo Cervantes, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 71 South Flannagan Ave, Lebanon, VA 24266 Phone: 276-883-8042 Fax: 276-883-8044 |