Look up the most recent NPI and PECOS records

Douglas P Olson

Internal Medicine

Allopathic & Osteopathic Physicians

1 Washington Sq, New Britain, CT 06051-1848

PECOS Enrollment

This provider is enrolled in PECOS as DOUGLAS OLSON.

Based on the most recent information from CMS, provider Douglas P Olson 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 yesterday at 2:56 PM.

Profile Details

Provider ID
1972788792
Provider Type
Individual
Full Name
Olson, Douglas P
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
12/31/2007
Last Updated
8/3/2011

Contact Information

Practice Location

1 Washington Sq, New Britain, CT 06051-1848

(860) 224-3642

(860) 224-2760

Mailing Location

1 Washington Sq, New Britain, CT 06051-1848

(860) 224-3642

(860) 224-2760

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 048098 Connecticut

Provider Identifiers

ID	Description	Issuer
ID 004236346	Description Medicaid	Issuer Unlisted Connecticut

Douglas P Olson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Piekarsky, Mark A

Abdel Salam, Hoda

Roy, Priya P

Mcauliffe, Gerald V

Taddeo, Robert L

Kwak, Young Jay

Yoder, David Anthony

Lewis, Jennifer R

Dodenhoff, Robert M

Bhatnagar, Sudhir K