Dr David Brian Nelson, MD is a medicare enrolled "General Practice" physician in Rock Hill, South Carolina. His current practice location is
410 S Herlong Ave, Suite 103, Rock Hill, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 985-3937.
Dr David Brian Nelson is licensed to practice in South Carolina (license number 22281) 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 1760441240.
Physician's Profile
| Full Name | Dr David Brian Nelson |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 410 S Herlong Ave, Rock Hill, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760441240
- Provider Enumeration Date: 03/22/2006
- Last Update Date: 08/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294784757
- Enrollment ID: I20050124000028
Medical Identifiers
Medical identifiers for Dr David Brian Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760441240 | NPI | - | NPPES |
| 22281 | Other | SC | SC LICENSE |
| 201017243 | Other | SC | FEDERAL TAX ID |
| 1437370657 | Other | | GROUP NPI |
| GP4138 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 22281 (South Carolina) | Secondary |
| 208D00000X | General Practice | 22281 (South Carolina) | 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. Dr David Brian Nelson allows following entities to bill medicare on his behalf.
| Entity Name | Carolina Eyecare Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437370657
PECOS PAC ID: 7214986777
Enrollment ID: O20050121000621 |
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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. Dr David Brian 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 |
|---|
Dr David Brian Nelson, MD
410 S Herlong Ave, Suite 103,
Rock Hill, SC 29732-8349
Ph: (803) 985-3937 | Dr David Brian Nelson, MD
410 S Herlong Ave, Suite 103,
Rock Hill, SC 29732-8349
Ph: (803) 985-3937 |
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