Mrs Tay Angell Nielsen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pearl, Mississippi. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Integrated Behavioral Health, Inc, Russellville Hospital Inc., Integrated Behavioral Health, Inc and her current practice location is
559 Clubhouse Dr, Pearl, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 932-0958.
Mrs Tay Angell Nielsen is licensed to practice in Mississippi (license number C5559) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083824270.
Healthcare Provider's Profile
Full Name | Mrs Tay Angell Nielsen |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 21 Years |
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Location | 559 Clubhouse Dr, Pearl, Mississippi |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Tay Angell Nielsen graduated from medical school in 2003
NPI Data:
- NPI Number: 1083824270
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5991099251
- Enrollment ID: I20160809001584
Medical Identifiers
Medical identifiers for Mrs Tay Angell Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083824270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C5559 (Mississippi) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Integrated Behavioral Health, Inc | 7416194113 | 81 |
Russellville Hospital Inc. | 3476878489 | 85 |
Integrated Behavioral Health, Inc | 7416194113 | 81 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tay Angell Nielsen allows following entities to bill medicare on her behalf.
Entity Name | Integrated Behavioral Health, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730522699 PECOS PAC ID: 7416194113 Enrollment ID: O20131007001029 |
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Entity Name | Russellville Hospital Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780232314 PECOS PAC ID: 3476878489 Enrollment ID: O20191018002761 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tay Angell Nielsen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tay Angell Nielsen, LCSW 559 Clubhouse Dr, Pearl, MS 39208-9506 Ph: (601) 932-0958 | Mrs Tay Angell Nielsen, LCSW 559 Clubhouse Dr, Pearl, MS 39208-9506 Ph: (601) 932-0958 |
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