| Olivia J Bartels, PA-C | |
|
2525 E State St, Salem, OH 44460-9303 | |
| (330) 271-8614 | |
| (330) 525-9008 |
| Full Name | Olivia J Bartels |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 2525 E State St, Salem, Ohio |
| 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 |
|---|---|---|---|
| 1811230956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.003647 (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 50.003647RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salem Regional Medical Center | Salem, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optima Dermatology Llc | 3971561648 | 74 |
| Entity Name | Optima Dermatology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831187764 PECOS PAC ID: 3971561648 Enrollment ID: O20041228000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia J Bartels, PA-C 111 New Hampshire Ave Ste 2, Portsmouth, NH 03801-2864 Ph: (802) 909-2053 | Olivia J Bartels, PA-C 2525 E State St, Salem, OH 44460-9303 Ph: (330) 271-8614 |
Lance Burgess, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 S Broadway Ave, Salem, OH 44460 Phone: 220-270-6900 |
Rachel Fender, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-7840 Fax: 330-332-7847 |
Melissa J. Hopkins, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 564 E 2nd St, Salem, OH 44460 Phone: 345-678-1502 Fax: 234-567-8189 |
Mr. Theodore Marino Ezekiel Gagianas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-7840 Fax: 330-332-7847 |
Amanda Lee Tulachka, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-1551 |
Regan Elizabeth Ciceklic, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 S Broadway Ave, Salem, OH 44460 Phone: 220-270-6900 |
Mr. Christopher Paul Urso, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-1551 |