David D Nelsen, MD | |
3524 E Milwaukee St, Janesville, WI 53546-1626 | |
(608) 756-7217 | |
(608) 756-4700 |
Full Name | David D Nelsen |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 15 Years |
Location | 3524 E Milwaukee St, Janesville, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417184169 | NPI | - | NPPES |
K400372132-000054176 | Other | WI | WI MEDICARE |
NELSEDAV | Other | WI | MERCYCARE INSURANCE |
1417184169 | Other | WI | BCBSWI |
1417184169 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 54912-20 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health System Corp | Janesville, WI | Hospital |
Javon Bea Hospital | Rockford, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health System Corporation | 7416860440 | 475 |
Rockford Health Physicians | 2567374036 | 304 |
Mercy Health System Corporation | 7416860440 | 475 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
David D Nelsen, MD 3524 E Milwaukee St, Janesville, WI 53546-1626 Ph: (608) 756-7217 | David D Nelsen, MD 3524 E Milwaukee St, Janesville, WI 53546-1626 Ph: (608) 756-7217 |
Dr. Lauren Nibler Craddock, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8922 | |
Bruce R Pearson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 580 N Washington St, Dean Medical Center, Janesville, WI 53548 Phone: 608-755-3500 Fax: 608-755-3500 | |
Kristi E Knuijt, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8922 |