Ms Lisa Olson, PHYSICIAN ASSISTANT is a
Physician Assistant based in Algoma, Wisconsin. Ms Lisa Olson is licensed to practice in Illinois (license number 085.003393) and her current practice location is
1510 Fremont St, Algoma, Algoma, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 487-3676.
NPI number for Ms Lisa Olson is 1336128081 and her current mailing address is 512 Kirkland Ave, Algoma, Algoma, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336128081.
Provider's Profile
| Full Name | Ms Lisa Olson |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 1510 Fremont St, Algoma, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336128081
- Provider Enumeration Date: 01/11/2006
- Last Update Date: 01/07/2009
Medical Identifiers
Medical identifiers for Ms Lisa Olson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336128081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 085.003393 (Illinois) | 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. Ms Lisa Olson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Lisa Olson, PHYSICIAN ASSISTANT
512 Kirkland Ave, Algoma,
Algoma, WI 54201-1075
Ph: (262) 758-1078 | Ms Lisa Olson, PHYSICIAN ASSISTANT
1510 Fremont St, Algoma,
Algoma, WI 54201
Ph: (920) 487-3676 |
Reviews and Comments