Maribeth Olson, PA-C
Individual provider Active NPI Physician Assistant · Madison, MN
NPI 1598075970 · NPPES record last updated Aug 16, 2017
Key facts
- NPI
- 1598075970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 11011 (MN)
- Practice address
- 900 2ND Ave
Madison, MN 56256-1006 - Phone
- (320) 598-7536
- NPI assigned
- Oct 19, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Madison Healthcare Services
Lac Qui Parle Clinic of Madison Inc
Practice addresses (Care Compare)
820 3Rd Ave
Madison, MN 56256-1014
Phone 32059875517551
900 2ND Ave
Madison, MN 56256-1006
Phone 32059875517158
Hospital & facility affiliations
- Madison Hospital
- Chippewa County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120322000121 | MN | Practitioner - Physician Assistant | 9032379458 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Healthcare Services | Current |
Accepting new patients |
Locations
820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552
900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536
Interoperability endpoints
- molson323226@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11011 | MN | Yes |
Addresses
Primary practice location
900 2ND Ave
Madison, MN 56256-1006
Mailing address
900 2ND Ave
Madison, MN 56256
Phone (320) 598-7551
Other providers in Madison, MN
- Victoria Marquardt
- Brandi Ann Merritt
- Melanie Miller
- Maria Nolte
- Dallas Nyflot
- Holly Rock
- Autumn Ronglien
- Sanford Home Health
- Thrifty Drug Stores Inc
- Brandon Lee Ulstad
All providers in Madison, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2017. 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.