CAMERON S OLSEN is a physician enrolled with Centers for Medicare & Medicaid Services (CMS). The enrollment date is December 27, 2021.
CAMERON S OLSEN is a internal medicine enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is MACON COUNTY SAMARITAN HOSPITAL. The business address is 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095.
| NPI | 1285252973 Nation Provider Identifier (NPI) National Plan and Provider Enumeration System (NPPES) |
| PAC ID | 5193116325 PECOS Associate Control (PAC) ID Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
| Professional Enrollment ID | I20211227000198 |
| Full Name | CAMERON S OLSEN |
| Gender | M |
| Medical School | ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED |
| Graduation Year | 2020 |
| Primary Specialty | INTERNAL MEDICINE |
| Organization Legal Name | MACON COUNTY SAMARITAN HOSPITAL |
| Group Practice PAC ID | 1456261395 |
| Number of Group Practice Members | 31 |
| Address | 1205 N Missouri St Samaritan Hospital Macon MO 63552-2095 |
| Telephone | 6603858700 |
| Professional Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
| Group Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
| NPI | 1285252973 Nation Provider Identifier (NPI) National Plan and Provider Enumeration System (NPPES) |
| Provider Name | CAMERON SINCLAIR OLSEN |
| Address | 315 S Osteopathy Ave Kirksville MO 63501-6401 |
| Classification | Internal Medicine |
| Taxonomy Code | 207R00000X |
| Enumeration Date | 2020-07-08 |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261313 | MACON COUNTY SAMARITAN MEMORIAL HOSPITAL |
| Organization Legal Name | Group Practice PAC ID | Number of Group Practice Members | Address | Group Accepts Medicare Assignment |
|---|---|---|---|---|
| 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | M | |||
| MACON COUNTY SAMARITAN HOSPITAL | 1456261395 | 31 | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 | Y |
| Address | Telephone | Group Practice PAC ID |
|---|---|---|
| 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | ||
| 1205 N Missouri St, Samaritan Hospital, Macon, MO 635522095 | 6603858700 | 1456261395 |
| Organization Legal Name | MACON COUNTY SAMARITAN HOSPITAL |
| Address | 1205 N Missouri St Samaritan Hospital Macon MO 63552-2095 |
| Telephone | 6603858700 |
| Medical School | ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED |
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Jamie L Oliver | Nurse Practitioner | Macon County Samaritan Hospital | 1201 N Rutherford St, Macon, MO 63552-2020 |
| James W Mcdowell | Family Medicine | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
| Gabriel V Skiba | Family Medicine | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
| Aaron C Neisen | Family Medicine | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
| Cassandra K From | Family Medicine | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
| Ethan S Jaeger | Family Medicine | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
| Kevin S Sidhu | Family Medicine | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
| Clayton E Whetmore | Family Medicine | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
| Paula G Barr | Nurse Practitioner | Macon County Samaritan Hospital | 1201 N Rutherford St, Macon, MO 63552-2020 |
| Jonas Singer | Diagnostic Radiology | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
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| Christopher Bernal Quijano | General Surgery | David S Thoman Inc | 520 W Junipero St, Santa Barbara, CA 93105-4212 |
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| Angela Palitto | Emergency Medicine | At Your Door Visiting Healthcare Services LLC | 5665 Sugarwood Dr, New Albany, OH 43054-7003 |
| Gurpreet Kaur | Emergency Medicine | 800 Rose St, Lexington, KY 40536-0293 | |
| Ali Abbas Zaidi | Emergency Medicine | Neighborhood Urgent Care Physicians LLC | 2412 E Main St, Neighborhood Emergency Physicians LLC, Plainfield, IN 46168-2706 |
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| Street Address | 1205 N MISSOURI ST SAMARITAN HOSPITAL |
| City | MACON |
| State | MO |
| Zip Code | 63552-2095 |
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Jonas Singer | Diagnostic Radiology | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
| Gabriel V Skiba | Family Medicine | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
| James W Mcdowell | Family Medicine | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
| Jamie M Kauffman | Internal Medicine | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
| Lisa M Mayes | Family Medicine | Macon County Samaritan Hospital | 1205 N Missouri St, Macon, MO 63552-2095 |
| Jay B Nastav | General Surgery | Macon County Samaritan Hospital | 1205 N Missouri St, Macon, MO 63552-2095 |
| Dalton Ebel | Family Medicine | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
| Kevin S Sidhu | Family Medicine | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
| Michael T Butterfield | Diagnostic Radiology | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
| Patrick D Terry | Family Medicine | Macon County Samaritan Hospital | 1205 N Missouri St, Samaritan Hospital, Macon, MO 63552-2095 |
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| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Donnell Huff | Clinical Social Worker | 303 Weller St, Health and Healing, Macon, MO 63552-1942 | |
| Paula G Barr | Nurse Practitioner | Macon County Samaritan Hospital | 1201 N Rutherford St, Macon, MO 63552-2020 |
| Krystal M Barnett | Nurse Practitioner | Macon County Samaritan Hospital | 1201 N Rutherford St, Macon, MO 63552-2020 |
| Mark Vincent Maddox | Optometry | Vision Care Associates, LLC | 1705 Prospect Dr, Macon, MO 63552-2602 |
| Derek D Bond | Physical Therapy | 1003 S Missouri St, Macon, MO 63552-1385 | |
| Andrew R Weber | Physician Assistant | Hannibal Regional Healthcare System Inc | 1206 N Missouri St C, Complete Family Medicine, Macon, MO 63552-2150 |
| Emily A Kerns | Physician Assistant | Macon County Samaritan Hospital | 1201 N Rutherford St, Macon, MO 63552-2020 |
| Craig Alan Rose | Optometry | Vision Care Associates, LLC | 1705 Prospect Dr, Macon, MO 63552-2602 |
| Thomas E Thurman | Chiropractic | 1604 Gary St, Macon, MO 63552-1936 | |
| Donet Christopher Main | Orthopedic Surgery | 1706 Prospect Dr, Macon, MO 63552-2615 | |
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| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Wayne M Olsen | Chiropractic | 415 Medical Dr, C201, Bountiful, UT 84010-4974 | |
| Donald L Olsen | Physical Therapy | Wisconsin Orthopedic Rehabilitation Consultants Inc | 136 N Main St, Suite 308, Thiensville, WI 53092-1606 |
| Michael T Olsen | Family Medicine | Northeastern Utah Medical Group | 379 N 500, Vernal, UT 84078-1956 |
| Kevin R Olsen | Physician Assistant | Health Access Network Inc | 1930 Medway Rd, Medway, ME 04460-3166 |
| Amy H Olsen | Family Practice | Cascade Integrative Medicine Pllc | 450 Nw Gilman Blvd, Issaquah, WA 98027-2722 |
| Roger A Olsen | Psychologist, Clinical | Roger A Olsen Psyd Lp LLC | 4660 Slater Rd, Suite 210, Eagan, MN 55122-4055 |
| Amy Olsen | Nurse Practitioner | Northeastern Utah Medical Group | 379 N 500, Vernal, UT 84078-1956 |
| Charles S Olsen | Family Medicine | St Francis Hospital | 145 4th Ave N, Osf Medical Group Gladstone Clinic, Gladstone, MI 49837-1054 |
| Gwenivere S Olsen | Certified Nurse Midwife (cnm) | Essex County Obgyn Assoc Inc | 83 Herrick St, Beverly, MA 01915-2757 |
| Kathryn L Olsen | Clinical Social Worker | 1131 E Britton Rd, Oklahoma City, OK 73131-2004 |
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This dataset includes 1.5 million individual physicians, and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | United States |