Mrs Tamara L Olt, MD | |
5401 N Knoxville Ave, Suite 109, Peoria, IL 61614-5098 | |
(309) 692-2805 | |
(309) 692-1913 |
Full Name | Mrs Tamara L Olt |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 32 Years |
Location | 5401 N Knoxville Ave, Peoria, Illinois |
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 |
---|---|---|---|
1104870708 | NPI | - | NPPES |
07232119 | Other | IL | BCBS OF ILLINOIS |
P00289284/DE3835 | Other | IL | RAILROAD MEDICARE |
036089480 | Medicaid | IL | |
IL0101 | Other | IL | JOHN DEERE HEALTH |
343117 | Other | IL | HEALTHLINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | 036089480 (Illinois) | Primary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | 036089480 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Medical Center | Peoria, IL | Hospital |
Proctor Hospital | Peoria, IL | Hospital |
Entity Name | Tamara Olt Sc Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881786622 PECOS PAC ID: 6507886959 Enrollment ID: O20051130000123 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tamara L Olt, MD 5401 N Knoxville Ave, Suite 109, Peoria, IL 61614-5098 Ph: (309) 692-2805 | Mrs Tamara L Olt, MD 5401 N Knoxville Ave, Suite 109, Peoria, IL 61614-5098 Ph: (309) 692-2805 |
Dr. Michael Leonardi, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4911 N Executive Dr, Suite 200, Peoria, IL 61614 Phone: 309-683-6700 Fax: 309-683-6722 | |
Charles Egley, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-4144 | |
Dr. Pilar Mckay Rainey, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak, Peoria, IL 61634 Phone: 309-655-4163 | |
Gary A Johnson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3000 | |
Dr. Rebecca Jane Byler Dann, M.D., M.P.H. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Illini Dr # 1649, Peoria, IL 61605 Phone: 309-655-3024 Fax: 309-655-3739 | |
Rida W Boulos, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: Dept Of Ob / Gyn, 530 Ne Glen Oak, Peoria, IL 61637 Phone: 309-655-3024 |