Dr Jacqueline Lee Nelson, MD is a medicare enrolled "Pediatrics" physician in Fort Washakie, Wyoming. She went to University Of Utah School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Us Health Dept Of Health And Human Services and her current practice location is
29 Black Coal Dr, Fort Washakie, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 332-7300.
Dr Jacqueline Lee Nelson is licensed to practice in Wyoming (license number 4681A) 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 1548333206.
Physician's Profile
| Full Name | Dr Jacqueline Lee Nelson |
|---|
| Gender | Female |
|---|
| Speciality | Family Practice |
|---|
| Experience | 37 Years |
|---|
| Location | 29 Black Coal Dr, Fort Washakie, Wyoming |
|---|
| 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:
- Dr Jacqueline Lee Nelson attended and graduated from University Of Utah School Of Medicine in 1987
NPI Data:
- NPI Number: 1548333206
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 11/17/2011
Medicare PECOS Information:
- PECOS PAC ID: 7113066929
- Enrollment ID: I20091207000622
Medical Identifiers
Medical identifiers for Dr Jacqueline Lee Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548333206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 4681A (Wyoming) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Us Health Dept Of Health And Human Services | 9638081623 | 90 |
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 Jacqueline Lee Nelson allows following entities to bill medicare on her behalf.
| Entity Name | Us Health Dept Of Health & Human Services |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1972694602
PECOS PAC ID: 9638081623
Enrollment ID: O20031106000399 |
|---|
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 Jacqueline Lee 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 Jacqueline Lee Nelson, MD
29 Black Coal Dr,
Fort Washakie, WY 82514-0128
Ph: (307) 332-7300 | Dr Jacqueline Lee Nelson, MD
29 Black Coal Dr,
Fort Washakie, WY 82514-0128
Ph: (307) 332-7300 |
Reviews and Comments