| Mark A Olson, MD | |
|
11012 E 13 Mile Rd, Suite 112, Warren, MI 48093-2572 | |
| (586) 573-6880 | |
| (586) 573-2562 |
| Full Name | Mark A Olson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 11012 E 13 Mile Rd, Warren, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225020746 | NPI | - | NPPES |
| 1997933 | Medicaid | MI | |
| 700E021830 | Other | MI | BCBS |
| 700F340300 | Other | MI | BCBS |
| MO044866 | Other | MI | BCBS PIN # |
| 700E021910 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301044866 (Michigan) | Primary |
| Entity Name | Southfield Rehabilitation Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790785095 PECOS PAC ID: 6709872617 Enrollment ID: O20060414000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Olson, MD 29900 Lorraine Ave, Suite 400, Warren, MI 48093-5266 Ph: (586) 582-0864 | Mark A Olson, MD 11012 E 13 Mile Rd, Suite 112, Warren, MI 48093-2572 Ph: (586) 573-6880 |
Thomas J Oneil, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 27427 Schoenherr Rd, Ste 100, Warren, MI 48088 Phone: 586-756-5500 Fax: 586-756-5511 | |
Dr. Yogesh J Shukla, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13087 E 11 Mile Rd, Suite 200, Warren, MI 48088 Phone: 586-754-3060 | |
Dr. Narayan P Verma, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 31150 Hoover Rd Ste B, Ste B, Warren, MI 48093 Phone: 586-983-3666 Fax: 586-983-3776 | |
Chakrapani Ranganathan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 27427 Schoenherr Rd, Ste 100, Warren, MI 48088 Phone: 586-756-5500 Fax: 586-756-5511 | |
Dr. Bal Krishan Gupta, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11900 E Twelve Mile Rd, Suite 111, Warren, MI 48093 Phone: 586-573-5300 Fax: 586-573-5304 | |
Sudhir V Lingnurkar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd, Suite 201a, Warren, MI 48093 Phone: 586-558-6000 Fax: 586-558-6679 |