Dr Richard Michael Nestrud, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Port St Joe, Florida. His current practice location is
108 Washboard Ct, Port St Joe, Florida. You can reach out to his office (for appointments etc.) via phone at
(501) 225-8821.
Dr Richard Michael Nestrud is licensed to practice in Arkansas (license number C4891) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306897376.
Physician's Profile
Full Name | Dr Richard Michael Nestrud |
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Gender | Male |
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Speciality | Pediatrics - Neonatal-perinatal Medicine |
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Location | 108 Washboard Ct, Port St Joe, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306897376
- Provider Enumeration Date: 05/15/2006
- Last Update Date: 02/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 8921396409
- Enrollment ID: I20161017001179
Medical Identifiers
Medical identifiers for Dr Richard Michael Nestrud such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306897376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | ME126444 (Florida) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | C4891 (Arkansas) | Primary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | C-4891 (Arkansas) | Secondary |
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 Richard Michael Nestrud 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 Richard Michael Nestrud, MD Po Box 956, Port St Joe, FL 32457-0956 Ph: (501) 247-5219 | Dr Richard Michael Nestrud, MD 108 Washboard Ct, Port St Joe, FL 32456-4761 Ph: (501) 225-8821 |
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