| Heather Olson, PA-C | |
|
1309 10th Ave W, Mobridge, SD 57601-1146 | |
| (605) 845-3692 | |
| (605) 845-8252 |
| Full Name | Heather Olson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 1309 10th Ave W, Mobridge, South Dakota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952723702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0904 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mobridge Regional Hospital - Cah | Mobridge, SD | Hospital |
| Avera Missouri River Health Center | Gettysburg, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mobridge Regional Hospital | 6507776135 | 20 |
| Entity Name | Mobridge Regional Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1871554311 PECOS PAC ID: 6507776135 Enrollment ID: O20031201000671 |
| Entity Name | Mobridge Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871554311 PECOS PAC ID: 6507776135 Enrollment ID: O20040130000772 |
| Entity Name | Avera Gettysburg |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1003887266 PECOS PAC ID: 4284619362 Enrollment ID: O20061104000319 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Olson, PA-C 1309 10th Ave W, Mobridge, SD 57601-1146 Ph: (605) 845-3692 | Heather Olson, PA-C 1309 10th Ave W, Mobridge, SD 57601-1146 Ph: (605) 845-3692 |
Gail M Bonn, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1309 10th Ave W, Mobridge, SD 57601 Phone: 605-845-3692 Fax: 605-845-8252 |