Look up the most recent NPI and PECOS records

Mary Jane Olsen

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1945 State Route 33, Neptune, NJ 07753-4859

PECOS Enrollment

This provider is enrolled in PECOS as MARY OLSEN.

Based on the most recent information from CMS, provider Mary Jane Olsen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1346094513
Provider Type
Individual
Full Name
Olsen, Mary Jane
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
4/15/2024
Last Updated
10/22/2024

Contact Information

Practice Location

1945 State Route 33, Neptune, NJ 07753-4859

(732) 776-4292

Unlisted Fax

Mailing Location

331 Newman Springs Rd, Bldg 2, Ste 220, Red Bank, NJ 07701-5688

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 25MP00855700 New Jersey

Mary Jane Olsen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Campbell, Shannon

Sawyers, Katrina M

Magee, Rachel

Gasser, Brittany

Pillarella, Nicholas Rudy

Bradley, Mollie

Faldraga, Daniel

Stavar, Jessica Kayla

Brunck, Nicole

Mason, Brooke