| Olivia Martin, PA | |
|
900 Woodbury Ave Ste 8b, Council Bluffs, IA 51503-7855 | |
| (712) 796-2545 | |
| (712) 847-6095 |
| Full Name | Olivia Martin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 900 Woodbury Ave Ste 8b, Council Bluffs, Iowa |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811780414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3285 (Nebraska) | Secondary |
| 363A00000X | Physician Assistant | 132844 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health Mercy Council Bluffs | Council bluffs, IA | Hospital |
| Chi Health Creighton University Medical Center - B | Omaha, NE | Hospital |
| Shenandoah Medical Center | Shenandoah, IA | Hospital |
| Methodist Jennie Edmundson | Council bluffs, IA | Hospital |
| Montgomery County Memorial Hospital | Red oak, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shenandoah Medical Center | 9436063237 | 52 |
| Advanced Kidney Care, Pllc | 2769830082 | 5 |
| Entity Name | Montgomery County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265405310 PECOS PAC ID: 9032015805 Enrollment ID: O20031211000423 |
| Entity Name | Shenandoah Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497810972 PECOS PAC ID: 9436063237 Enrollment ID: O20040209000347 |
| Entity Name | Montgomery County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1376539338 PECOS PAC ID: 9032015805 Enrollment ID: O20061104000347 |
| Entity Name | Advanced Kidney Care, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154193712 PECOS PAC ID: 2769830082 Enrollment ID: O20231128000981 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Martin, PA 900 Woodbury Ave Ste 8b, Council Bluffs, IA 51503-7855 Ph: (712) 796-2545 | Olivia Martin, PA 900 Woodbury Ave Ste 8b, Council Bluffs, IA 51503-7855 Ph: (712) 796-2545 |
Kayden L Reilly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 855-524-4001 Fax: 712-325-2499 |
Leah Abebe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 902 S 6th St, Council Bluffs, IA 51501 Phone: 712-325-1990 |
Isabella Ann Phillips, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 412 Forest Glen Dr, Council Bluffs, IA 51503 Phone: 712-308-4459 |
Theresa Macdissi, P.A.-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1 Edmundson Pl Ste 306, Council Bluffs, IA 51503 Phone: 712-396-7787 Fax: 712-396-4115 |
Sara Rygol, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2201 W Broadway, Suite 9, Council Bluffs, IA 51501 Phone: 712-328-9100 |
Joycin Nicole Stonacek, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Mercy Dr Ste 5, Council Bluffs, IA 51503 Phone: 402-717-6870 Fax: 402-717-6874 |
Mr. Wyatt Allen Schmidt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3502 Metro Drive, Suite 200, Council Bluffs, IA 51501 Phone: 712-256-7172 Fax: 712-256-7374 |