| John M Evelsizer Olson, PA-C | |
|
901 Montgomery St, Decorah, IA 52101-2325 | |
| (563) 382-2911 | |
| (563) 387-3102 |
| Full Name | John M Evelsizer Olson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 901 Montgomery St, Decorah, Iowa |
| 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 |
|---|---|---|---|
| 1639483001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 082179 (Iowa) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 082179 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winnmed | Decorah, IA | Hospital |
| Regional Health Services Of Howard County | Cresco, IA | Hospital |
| Veterans Memorial Hospital | Waukon, IA | Hospital |
| Mayo Clinic Health System In La Crosse | La crosse, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Winneshiek Medical Center | 4688582935 | 99 |
| Winneshiek Medical Center | 4688582935 | 99 |
| Entity Name | Winneshiek Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992854863 PECOS PAC ID: 4688582935 Enrollment ID: O20040316001437 |
| Entity Name | Winneshiek Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1619922051 PECOS PAC ID: 4688582935 Enrollment ID: O20061104000215 |
| Mailing Address | Practice Location Address |
|---|---|
| John M Evelsizer Olson, PA-C 901 Montgomery St, Decorah, IA 52101-2325 Ph: (563) 382-2911 | John M Evelsizer Olson, PA-C 901 Montgomery St, Decorah, IA 52101-2325 Ph: (563) 382-2911 |
Ms. Lisa Jean Barnes, MS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 |
Mr. Jesse Van Butler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 Fax: 563-387-1512 |
Paul C Coffeen, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1830 State Highway 9, Decorah, IA 52101 Phone: 563-382-2639 |
Shelly Sue Weiland, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 |
Marcy Ann Fadness, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 911 S Mill St, Decorah, IA 52101 Phone: 563-382-1200 Fax: 563-382-1211 |
Mini K Locke, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 305 Montgomery St, Decorah, IA 52101 Phone: 563-382-8436 Fax: 563-382-5140 |
Mrs. Ericka Rose Moudry, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 Fax: 563-382-4143 |