| Leif Eric Olsson, MD | |
|
70 Kenyon Ave Ste 210, Wakefield, RI 02879-4253 | |
| (401) 788-8780 | |
| (401) 788-8787 |
| Full Name | Leif Eric Olsson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 32 Years |
| Location | 70 Kenyon Ave Ste 210, Wakefield, Rhode Island |
| 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 |
|---|---|---|---|
| 1265489306 | NPI | - | NPPES |
| 7056699 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD11442 (Rhode Island) | Primary |
| 208800000X | Urology | MD24019 (Maine) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of Fatima Hospital | North providence, RI | Hospital |
| The Miriam Hospital | Providence, RI | Hospital |
| Roger Williams Medical Center | Providence, RI | Hospital |
| Kent County Memorial Hospital | Warwick, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prospect Chartercare Physicians Llc | 0840416657 | 73 |
| Entity Name | Prospect Chartercare Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629493135 PECOS PAC ID: 0840416657 Enrollment ID: O20140730001883 |
| Mailing Address | Practice Location Address |
|---|---|
| Leif Eric Olsson, MD Po Box 229, Wakefield, RI 02880-0229 Ph: (401) 788-3929 | Leif Eric Olsson, MD 70 Kenyon Ave Ste 210, Wakefield, RI 02879-4253 Ph: (401) 788-8780 |
Melinda K Knight, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 70 Kenyon Ave Unit 324, Wakefield, RI 02879 Phone: 401-788-8780 Fax: 401-788-8787 | |
Tess Martens, APRN Urology Medicare: Accepting Medicare Assignments Practice Location: 70 Kenyon Ave Unit 324, Wakefield, RI 02879 Phone: 401-788-8780 Fax: 401-788-8787 |