| Dan N Olson, MD | |
|
2600 State Route 5, Cortland, OH 44410-9393 | |
| (330) 372-8800 | |
| (330) 372-8999 |
| Full Name | Dan N Olson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 51 Years |
| Location | 2600 State Route 5, Cortland, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417981077 | NPI | - | NPPES |
| 000000243190 | Other | OH | ANTHEM BC/BS |
| 400885 | Other | OH | UNITED HEALTHCARE |
| 78934 | Other | OH | HEALTH ASSURANCE |
| J45552 | Other | OH | SUMMACARE |
| Q022608 | Other | OH | HOMETOWN |
| 0465527 | Medicaid | OH | |
| 341341025039 | Other | OH | CARESOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35045552 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Patriot Homecare, Inc | Girard, OH | Home health agency |
| Trumbull Regional Medical Center | Warren, OH | Hospital |
| Mh St Joseph Warren Hospital | Warren, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trumbull Mahoning Medical Group, Inc. | 3779537022 | 5 |
| Entity Name | Trumbull Mahoning Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285642769 PECOS PAC ID: 3779537022 Enrollment ID: O20050309000599 |
| Mailing Address | Practice Location Address |
|---|---|
| Dan N Olson, MD 2600 State Route 5, Cortland, OH 44410-9393 Ph: (330) 372-8800 | Dan N Olson, MD 2600 State Route 5, Cortland, OH 44410-9393 Ph: (330) 372-8800 |
Sameh Ibrahim Youssef, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 State Route 5, Cortland, OH 44410 Phone: 330-372-8800 Fax: 330-372-8999 | |
Benjamin J Kulper, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 State Route 5, Cortland, OH 44410 Phone: 330-372-8800 Fax: 330-372-8999 | |
Sohair Kamel Rostom, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Windsor Dr, Cortland, OH 44410 Phone: 330-675-4450 Fax: 330-675-4451 | |
Mourad L Rostom, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Windsor Dr, Cortland, OH 44410 Phone: 330-675-4450 Fax: 330-675-4451 | |
Basem Nabil Doss, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 State Route 5 Ste 2636, Cortland, OH 44410 Phone: 234-338-9790 Fax: 234-338-9795 | |
Dr. Gary R Gibson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 310 Windsor Dr, Cortland, OH 44410 Phone: 330-637-0356 Fax: 330-637-0361 |