Timothy Brian Olsen, is a
Physician Assistant based in Lead, South Dakota. Timothy Brian Olsen is licensed to practice in Montana (license number MED-PAC-LIC-59140) and his current practice location is
621 Ridge Road, Lead, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 591-9949.
NPI number for Timothy Brian Olsen is 1316465925 and his current mailing address is 621 Ridge Road, Lead, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316465925.
Provider's Profile
| Full Name | Timothy Brian Olsen |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 621 Ridge Road, Lead, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316465925
- Provider Enumeration Date: 09/03/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Timothy Brian Olsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316465925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | MED-PAC-LIC-59140 (Montana) | 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. Timothy Brian Olsen 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 |
|---|
Timothy Brian Olsen,
621 Ridge Road,
Lead, SD 57754
Ph: (605) 591-9949 | Timothy Brian Olsen,
621 Ridge Road,
Lead, SD 57754
Ph: (605) 591-9949 |
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