Robert Edward Olt, is a
Psychologist - Clinical based in Havana, Illinois. Robert Edward Olt is licensed to practice in Illinois (license number 071.008386) and his current practice location is
588 S Plum St, Havana, Illinois. He can be reached at his office (for appointments etc.) via phone at
(309) 253-7611.
NPI number for Robert Edward Olt is 1386067213 and his current mailing address is 588 S Plum St, Havana, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386067213.
Healthcare Provider's Profile
Full Name | Robert Edward Olt |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 588 S Plum St, Havana, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386067213
- Provider Enumeration Date: 01/29/2014
- Last Update Date: 01/29/2014
Medical Identifiers
Medical identifiers for Robert Edward Olt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386067213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071.008386 (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. Robert Edward Olt 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 |
Robert Edward Olt, 588 S Plum St, Havana, IL 62644-1374 Ph: (309) 253-7611 | Robert Edward Olt, 588 S Plum St, Havana, IL 62644-1374 Ph: (309) 253-7611 |
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