| Robert Olton, PA | |
|
12128 Streambed Dr, Riverview, FL 33579-9336 | |
| (786) 259-2937 | |
| Not Available |
| Full Name | Robert Olton |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 12128 Streambed Dr, Riverview, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568749034 | NPI | - | NPPES |
| PA9106278 | Other | FL | LICENSE |
| 004286000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9106278 (Florida) | Primary |
| Entity Name | Premier Community Health Care Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841263399 PECOS PAC ID: 3476450818 Enrollment ID: O20031215000701 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Olton, PA 12128 Streambed Dr, Riverview, FL 33579-9336 Ph: (786) 259-2937 | Robert Olton, PA 12128 Streambed Dr, Riverview, FL 33579-9336 Ph: (786) 259-2937 |
Sana Arif, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9182 Headwaters Ave Unit 308, Riverview, FL 33578 Phone: 954-304-1002 |
Ms. Melissa Marie Clinton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6901 Simmons Loop, Riverview, FL 33578 Phone: 813-302-8070 Fax: 813-972-5055 |
Bach Son Le, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13403 Boyette Rd, Riverview, FL 33569 Phone: 813-654-1775 Fax: 813-651-9082 |
Emma Kitayne Greenbaum, MMS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13015 Summerfield Square Dr, Riverview, FL 33578 Phone: 813-879-8045 |
Christ Gao, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13015 Summerfield Square Dr, Riverview, FL 33578 Phone: 813-879-8045 |
Kyle Harden, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13127 Vail Ridge Dr, Riverview, FL 33579 Phone: 813-661-6199 |
Samantha Welt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11948 Balm Riverview Rd, Riverview, FL 33569 Phone: 813-656-9553 |