Angela Diane Olson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Campbell Hill, Illinois. Her current practice location is
291 Post Oak Rd, Campbell Hill, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 357-0919.
Angela Diane Olson is licensed to practice in Illinois (license number 149017402) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679024590.
Healthcare Provider's Profile
Full Name | Angela Diane Olson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 291 Post Oak Rd, Campbell Hill, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679024590
- Provider Enumeration Date: 10/14/2016
- Last Update Date: 04/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 3678904018
- Enrollment ID: I20200519000980
Medical Identifiers
Medical identifiers for Angela Diane Olson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679024590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149017402 (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. Angela Diane 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 |
Angela Diane Olson, LCSW Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-1633 | Angela Diane Olson, LCSW 291 Post Oak Rd, Campbell Hill, IL 62916-2006 Ph: (618) 357-0919 |
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