Dr John Francis Nielsen, MD - Medicare Family Practice in Carthage, TX

Dr John Francis Nielsen, MD is a medicare enrolled "Family Medicine" physician in Carthage, Texas. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Aspirus Wausau Hospital Inc and his current practice location is 702 Davis St, Ste 4, Carthage, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 694-4991.

Dr John Francis Nielsen is licensed to practice in Texas (license number J8333) 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 1003811415.

Contact Information

Dr John Francis Nielsen, MD
702 Davis St, Ste 4,
Carthage, TX 75633-1461
(903) 694-4991
(903) 694-4995

Map and Direction




Physician's Profile

Full NameDr John Francis Nielsen
GenderMale
SpecialityFamily Practice
Experience36 Years
Location702 Davis St, Carthage, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Francis Nielsen graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1003811415
  • Provider Enumeration Date: 06/14/2005
  • Last Update Date: 03/28/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 1254526072
  • Enrollment ID: I20210624003412

Medical Identifiers

Medical identifiers for Dr John Francis Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003811415NPI-NPPES
8G9170OtherTXBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine J8333 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aspirus Wausau HospitalWausau, WIHospital
Ascension Good Samaritan HospitalMerrill, WIHospital
Pine Crest Nursing HomeMerrill, WINursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aspirus Wausau Hospital Inc6406757442161

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 John Francis Nielsen allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-northern Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265507537
PECOS PAC ID: 8426960022
Enrollment ID: O20031103000345
Entity NameAspirus Wausau Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922321140
PECOS PAC ID: 6406757442
Enrollment ID: O20040114000297

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 John Francis Nielsen 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 AddressPractice Location Address
Dr John Francis Nielsen, MD
702 Davis St, Ste 4,
Carthage, TX 75633-1461

Ph: (903) 694-4991
Dr John Francis Nielsen, MD
702 Davis St, Ste 4,
Carthage, TX 75633-1461

Ph: (903) 694-4991

Reviews and Comments


Family Medicine Doctors in Carthage, TX

Dr. Jim Jason Phillips, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1410 W Panola St, Carthage, TX 75633
Phone: 903-693-9375    Fax: 903-694-4654
Deepti A Govathoti, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 121 Woodmill Ln, Carthage, TX 75633
Phone: 903-693-6626    Fax: 628-246-8409
Suzzane Marie Blake, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4188 Nw Loop, Carthage, TX 75633
Phone: 903-315-4160    Fax: 903-690-0801
Louie Royce Hill, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 812 N Daniels St, Carthage, TX 75633
Phone: 903-693-3838    Fax: 903-693-3830

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.