| Alan Olson, | |
|
267 Grant St, Bridgeport, CT 06610-2805 | |
| (203) 384-3000 | |
| Not Available |
| Full Name | Alan Olson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 267 Grant St, Bridgeport, Connecticut |
| 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 |
|---|---|---|---|
| 1033495684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 002643 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bridgeport Hospital | Bridgeport, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1357 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Olson, 77 Chestnut Dr, Derby, CT 06418-2310 Ph: Not Available | Alan Olson, 267 Grant St, Bridgeport, CT 06610-2805 Ph: (203) 384-3000 |
Mr. Alex Scott Cadan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4500 Fax: 203-384-3812 |
Daniel Paoletti, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 |
Ms. Katie Lynn Merithew, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3199 |
Margaret Parisi, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 |
Ashley Nicole Kovac, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6141 |
Alyssa Michelle Pioggia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 881 Lafayette Blvd Unit 5h, Bridgeport, CT 06604 Phone: 781-879-5650 |
Miss Mishelle Diane Andersen, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 64 Black Rock Ave, Bridgeport, CT 06605 Phone: 203-641-6110 |