Maryel Olson | Roseville, CA • PECOS Search

Maryel Olson

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2 Medical Plaza Dr, Suite 105, Roseville, CA 95661-3043

(916) 797-4700 (800) 470-0071

PECOS Enrollment

Based on the most recent information from CMS, provider Maryel Olson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1477602985
Provider Type
Individual
Full Name
Olson, Maryel
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
1/10/2007
Last Updated
7/8/2007

Contact Information

Practice Location

2 Medical Plaza Dr, Suite 105, Roseville, CA 95661-3043

(916) 797-4701

Mailing Location

PO Box 255228, Sacramento, CA 95865-5228

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA12033 California