Cary D Nelson, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Valley Village, California. His current practice location is
12626 Riverside Dr Ste 510, Valley Village, California. You can reach out to his office (for appointments etc.) via phone at
(818) 755-0101.
Cary D Nelson is licensed to practice in California (license number A87420) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215018486.
Physician's Profile
| Full Name | Cary D Nelson |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine - Adult Medicine |
|---|
| Location | 12626 Riverside Dr Ste 510, Valley Village, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1215018486
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6709891922
- Enrollment ID: I20060209000254
Medical Identifiers
Medical identifiers for Cary D Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215018486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QA0505X | Family Medicine - Adult Medicine | A87420 (California) | Primary |
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. Cary D Nelson allows following entities to bill medicare on his behalf.
| Entity Name | J M Geiss Do Apc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1063825289
PECOS PAC ID: 6103044078
Enrollment ID: O20140919001932 |
|---|
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. Cary D Nelson 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 |
|---|
Cary D Nelson, MD
Po Box 3341,
Long Beach, CA 90803-0341
Ph: () - | Cary D Nelson, MD
12626 Riverside Dr Ste 510,
Valley Village, CA 91607-3463
Ph: (818) 755-0101 |
Reviews and Comments