Individual ProviderEmma OlsonFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address10800 Knights Rd, Philadelphia, PA 19114-4200(215) 612-5161PECOS EnrollmentBased on the most recent information from CMS, provider Emma Olson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 11:35 AM.Profile DetailsProvider ID1598327686Provider TypeIndividualFull NameOlson, EmmaCredentialDOGenderFemaleSole ProprietorNoEnumeration Date6/28/2019Last Updated8/12/2022Contact InformationPractice LocationPractice Address10800 Knights Rd, Philadelphia, PA 19114-4200Phone(215) 612-5161FaxUnlisted FaxMailing LocationMailing Address10800 Knights Rd, Philadelphia, PA 19114-4200Phone(215) 612-5161FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseOS022085Pennsylvania