Lisa C Olson (NPI# 1891724365, PAC ID# 4688678386) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1891724365 |
| PAC ID by PECOS | 4688678386 |
| Professional Enrollment ID | I20060912000317 |
| Full Name | Lisa C Olson |
| Organization Legal Name | MILE BLUFF MEDICAL CENTER INC |
| Address |
1515 Academy St Elroy WI 53929-1011 |
| Phone Number | 6084628466 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8527971399 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520109 | MILE BLUFF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1515 Academy St, Elroy, WI 53929-1011 | 6084628466 | MILE BLUFF MEDICAL CENTER INC |
| 1040 Division St, Mauston, WI 53948-1931 | 6088475000 | MILE BLUFF MEDICAL CENTER INC |
| 1050 Division St, Mauston, WI 53948-1931 | MILE BLUFF MEDICAL CENTER INC | |
| 1408 Wheelihan Ave, Necedah, WI 54646-8253 | 6085652000 | MILE BLUFF MEDICAL CENTER INC |
| 28 Commerce St, Wisconsin Dells, WI 53965-8293 | 6082548888 | MILE BLUFF MEDICAL CENTER INC |
| Organization Legal Name | MILE BLUFF MEDICAL CENTER INC |
| Physicians | 60 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin R Whitney | Family Medicine | Mile Bluff Medical Center Inc | 1040 Division St, Mauston, WI 53948-1931 |
| Lynn M Schuebel | Physician Assistant | Mile Bluff Medical Center Inc | 28 Commerce St, Wisconsin Dells, WI 53965-8293 |
| Maria D Wolf | Nurse Practitioner | Mile Bluff Medical Center Inc | 1515 Academy St, Elroy, WI 53929-1011 |
| Cassondra L Kovach | Family Medicine | Mile Bluff Medical Center Inc | 1040 Division St, Mauston, WI 53948-1931 |
| Bryan L Myers | Family Medicine | Mile Bluff Medical Center Inc | 1040 Division St, Mauston, WI 53948-1931 |
| James Michael Grannell | Orthopedic Surgery | Mile Bluff Medical Center Inc | 1040 Division St, Mauston, WI 53948-1931 |
| Paul Rudy | Family Medicine | Mile Bluff Medical Center Inc | 1040 Division St, Mauston, WI 53948-1931 |
| Michael L Pech | Obstetrics/gynecology | Mile Bluff Medical Center Inc | 1040 Division St, Mauston, WI 53948-1931 |
| Richard G Rilling | Orthopedic Surgery | Mile Bluff Medical Center Inc | 1040 Division St, Mauston, WI 53948-1931 |
| Mongtu Thi Ngo | Physician Assistant | Mile Bluff Medical Center Inc | 1040 Division St, Mauston, WI 53948-1931 |
| Street Address |
1515 ACADEMY ST |
| City | ELROY |
| State | WI |
| Zip | 53929-1011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria D Wolf | Nurse Practitioner | Mile Bluff Medical Center Inc | 1515 Academy St, Elroy, WI 53929-1011 |
| Moiya L Murphy | Family Medicine | Mile Bluff Medical Center Inc | 1515 Academy St, Elroy, WI 53929-1011 |
| Bradley J Ingraham | Physician Assistant | Mile Bluff Medical Center Inc | 1515 Academy St, Elroy, WI 53929-1011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Cooke | Family Medicine | St Joseph's Health Services Inc | 1705 Omaha St, Elroy, WI 53929-9776 |
| Katherine Anne Orourke | Family Medicine | St Joseph's Health Services Inc | 1705 Omaha St, Elroy, WI 53929-9776 |
| Jessica Ann Thompson | Nurse Practitioner | St Joseph's Health Services Inc | 1705 Omaha St, Elroy, WI 53929-9776 |
| City | ELROY |
| Zip Code | 53929 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ELROY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lisa C Olson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.