Individual ProviderGregory P OlsenEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address300 W Pueblo St, Santa Barbara, CA 93105-4311(805) 682-7111(800) 358-8179PECOS EnrollmentThis provider is enrolled in PECOS as GREGORY OLSEN.Based on the most recent information from CMS, provider Gregory P Olsen is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1598701658Provider TypeIndividualFull NameOlsen, Gregory PCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/20/2006Last Updated4/1/2010Contact InformationPractice LocationPractice Address300 W Pueblo St, Santa Barbara, CA 93105-4311Phone(805) 682-7111FaxUnlisted FaxMailing LocationMailing AddressPO Box 10040, Westminster, CA 92685-0040Phone(800) 358-8179FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseG56830CaliforniaProvider IdentifiersIDDescriptionIssuerID00G568300DescriptionMedicaidIssuerUnlistedCalifornia