Mr Kenneth Michael Olson, PA - C in Saint Louis, MO

Mr Kenneth Michael Olson, PA - C is a medicare enrolled "Physician Assistant - Medical" in Saint Louis, Missouri. His current practice location is 915 N Grand Blvd, 11f/jc St. Louis Va, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 652-4100.

Mr Kenneth Michael Olson is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649232877.

Contact Information

	Mr Kenneth Michael Olson, PA - C
	915 N Grand Blvd, 11f/jc St. Louis Va, Saint Louis, MO 63106-1621
	(314) 652-4100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kenneth Michael Olson
Gender	Male
Speciality	Physician Assistant - Medical
Location	915 N Grand Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649232877
Provider Enumeration Date: 04/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5698912798
Enrollment ID: I20130509000236

Medical Identifiers

Medical identifiers for Mr Kenneth Michael Olson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649232877	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth Michael Olson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kenneth Michael Olson, PA - C 840 Castleaire Pkwy, Saint Louis, MO 63129-2049 Ph: (314) 892-6195	Mr Kenneth Michael Olson, PA - C 915 N Grand Blvd, 11f/jc St. Louis Va, Saint Louis, MO 63106-1621 Ph: (314) 652-4100

Reviews and Comments

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Mr Kenneth Michael Olson, PA - C - Medicare Physician Assistant in Saint Louis, MO