Dr Jason Lynn Nelles, MD is a medicare enrolled "Urology" physician in Cameron Park, California. He went to Washington University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Urology. He is a member of the group practice Marshall Medical Center and his current practice location is
3501 Palmer Dr, Suite 201, Cameron Park, California. You can reach out to his office (for appointments etc.) via phone at
(530) 626-9488.
Dr Jason Lynn Nelles is licensed to practice in California (license number A125671) 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 1164612024.
Physician's Profile
| Full Name | Dr Jason Lynn Nelles |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 18 Years |
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| Location | 3501 Palmer Dr, Cameron Park, California |
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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. |
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Medical Education and Training:
- Dr Jason Lynn Nelles attended and graduated from Washington University School Of Medicine in 2006
NPI Data:
- NPI Number: 1164612024
- Provider Enumeration Date: 07/26/2007
- Last Update Date: 01/27/2014
Medicare PECOS Information:
- PECOS PAC ID: 2668611047
- Enrollment ID: I20130614000433
Medical Identifiers
Medical identifiers for Dr Jason Lynn Nelles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164612024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | A125671 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Marshall Medical Center | 7517875859 | 94 |
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 Jason Lynn Nelles allows following entities to bill medicare on his behalf.
| Entity Name | Marshall Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962506097
PECOS PAC ID: 7517875859
Enrollment ID: O20031208001095 |
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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 Jason Lynn Nelles 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 |
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Dr Jason Lynn Nelles, MD
Po Box 45680,
San Francisco, CA 94145-0680
Ph: (530) 626-9488 | Dr Jason Lynn Nelles, MD
3501 Palmer Dr, Suite 201,
Cameron Park, CA 95682-8276
Ph: (530) 626-9488 |
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