| Dr Angela Suzzanne Olomon, DO, FACN | |
|
900 E San Martin St, Bolivar, MO 65613-2893 | |
| (417) 326-7272 | |
| (417) 326-2193 |
| Full Name | Dr Angela Suzzanne Olomon |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 39 Years |
| Location | 900 E San Martin St, Bolivar, Missouri |
| 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 |
|---|---|---|---|
| 1487618062 | NPI | - | NPPES |
| MA3677001 | Other | MO | MEDICARE PTAN |
| P00230684 | Other | MO | RAILROAD MC ID # |
| 242734010 | Medicaid | MO | |
| 242734036 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R1J41 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwoods Psychiatric Services Inc | 7012979974 | 2 |
| Entity Name | Citizens Memorial Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
| Entity Name | Northwoods Psychiatric Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417902305 PECOS PAC ID: 7012979974 Enrollment ID: O20050103000556 |
| Entity Name | Ozarks Resource Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639421050 PECOS PAC ID: 6002068723 Enrollment ID: O20130628000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Angela Suzzanne Olomon, DO, FACN Po Box 49, Bolivar, MO 65613-0049 Ph: (417) 326-7272 | Dr Angela Suzzanne Olomon, DO, FACN 900 E San Martin St, Bolivar, MO 65613-2893 Ph: (417) 326-7272 |
Harcharan Bains, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1120 S Springfield Ave, Bolivar, MO 65613 Phone: 417-326-7814 Fax: 417-326-4059 | |
Michael William Etches, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1120 S. Springfield Ave, Bolivar, MO 65613 Phone: 417-326-7814 Fax: 417-326-4059 | |
Dr. Curtis Paul Schreiber, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1245 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-327-3530 Fax: 417-327-3543 | |
Bryan E Flueckiger, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-6000 Fax: 417-328-6338 |