Kurt Richard Olson, M.D.
Individual provider Active NPI Family Medicine Physician · Munising, MI
NPI 1457309569 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457309569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301058344 (MI)
- Practice address
- 1504 Sand Point Road
Munising, MI 49862 - Phone
- (906) 387-4220
- Fax
- (906) 387-5449
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Loma Linda University School of Dentistry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Superior Walk-in Center PC
Practice addresses (Care Compare)
1504 Sand Point Rd
Munising, MI 49862-1406
1504 Sandpoint Rd
Munising, MI 49862-1406
Phone (906) 387-4220
2382 US Hwy 41 W
Marquette, MI 49855-2456
Phone (906) 226-2233
Hospital & facility affiliations
- North Woods Home Nursing
- Lake Superior Life Care & Hospice
- Uphs Marquette DLP Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 35.45 of 100
- Quality
- 35
- Improvement activities
- 0
- Cost
- 71.5
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101007001037 | MI | Practitioner - Family Practice | 2264433010 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301058344 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Walk-in Center, PC | Family Medicine | Current |
Accepting new patients |
| Superior Walk-in Center, PC | Family Medicine | Past | Accepting new patients |
| Superior Walk-in Center, PC | Family Medicine | Past | Accepting new patients |
| Superior Walk-in Center, PC | Family Medicine | Past | Accepting new patients |
| Superior Walk-in Center, PC | Family Medicine | Past | Accepting new patients |
Locations
2382 US Highway 41 W
Marquette, MI 49855
Phone (906) 226-2233
1504 Sandpoint Rd
Munising, MI 49862
Phone (906) 387-4220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301058344 | MI | Yes |
Addresses
Primary practice location
1504 Sand Point Road
Munising, MI 49862
Mailing address
1504 Sand Point Road
Munising, MI 49862
Phone (906) 387-4220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0520128003 | Other | MI | MEDICA PIN |
| 07945 | Other | MI | MCLAREN |
| KO058344 | Other | MI | BLUE CROSS LICENSE |
| 0800217321 | Other | MI | BLUE CARE NETWORK PIN |
| XX27082 | Other | MI | HEALTH PLUS PIN |
| 0800217321 | Other | MI | BLUE CROSS PIN |
| 1669575148 | Other | MI | MEDICAL ACCESS PROGRAM |
| 3181170 | Medicaid | MI | |
| 383165248100 | Other | MI | COMMUNITY CHOICE MI PIN |
| KO058344 | Other | MI | FEDERAL BLUE CROSS PIN |
| 507203 | Other | MI | CARE CHOICES HMO PIN |
| QMXPR0017426 | Other | MI | MOLINA HEALTHCARE OF MI |
| 1007945 | Other | MI | HEALTH ADVANTAGE PIN |
| 197491012236 | Other | MI | PREFERRED ONE PIN |
Other providers in Munising, MI
- Munising Memorial Hospital Association
- Munising Memorial Hospital Association
- Munising Opco, LLC
- Renae Nelson
- Mercy Adeola Odueyungbo
- Mark Walter Olson
- Ryan Kurt Olson
- Heather Palmer
- Pathways Community Mental Health
- Victor Adam Patronik
All providers in Munising, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.