Edmond Collin Nelson Jr, MD is a medicare enrolled "Hospitalist" physician in Sullivan, Missouri. He went to University Of South Alabama College Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice St Francis Medical Group Llc, Banner - University Hospital Based Physicians Llc and his current practice location is
751 Sappington Bridge Rd, Sullivan, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 468-4186.
Edmond Collin Nelson Jr is licensed to practice in Missouri (license number 2017027303) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912285446.
Physician's Profile
Full Name | Edmond Collin Nelson Jr |
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Gender | Male |
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Speciality | Hospitalist |
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Experience | 14 Years |
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Location | 751 Sappington Bridge Rd, Sullivan, Missouri |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Edmond Collin Nelson Jr attended and graduated from University Of South Alabama College Of Medicine in 2010
NPI Data:
- NPI Number: 1912285446
- Provider Enumeration Date: 08/02/2011
- Last Update Date: 06/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951541754
- Enrollment ID: I20191203001072
Medical Identifiers
Medical identifiers for Edmond Collin Nelson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912285446 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 23146 (Mississippi) | Secondary |
207R00000X | Internal Medicine | MD.32419 (Alabama) | Secondary |
207R00000X | Internal Medicine | WV-SE-1846 (West Virginia) | Secondary |
207R00000X | Internal Medicine | 65734 (Arizona) | Secondary |
207R00000X | Internal Medicine | 321099 (Louisiana) | Secondary |
208M00000X | Hospitalist | 79603 (Georgia) | Secondary |
208M00000X | Hospitalist | 321099 (Louisiana) | Secondary |
208M00000X | Hospitalist | 65734 (Arizona) | Secondary |
208M00000X | Hospitalist | 2017027303 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St Francis Medical Group Llc | 5092970624 | 136 |
Banner - University Hospital Based Physicians Llc | 1052614294 | 255 |
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. Edmond Collin Nelson Jr allows following entities to bill medicare on his behalf.
Entity Name | Ochsner Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
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Entity Name | St Francis Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134405087 PECOS PAC ID: 5092970624 Enrollment ID: O20120706000094 |
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Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20151021000365 |
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Entity Name | Sound Inpatient Physicians Of Texas I, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811321797 PECOS PAC ID: 8729133640 Enrollment ID: O20200123001338 |
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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. Edmond Collin Nelson Jr 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 |
Edmond Collin Nelson Jr, MD 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 Ph: (314) 448-3791 | Edmond Collin Nelson Jr, MD 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 Ph: (573) 468-4186 |
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