Dr Roger E Nellans, MD is a medicare enrolled "Urology" physician in Kingman, Arizona. His current practice location is
1739 E Beverly Ave, Suite 101, Kingman, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 681-8686.
Dr Roger E Nellans is licensed to practice in Oregon (license number MD28212) 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 1487742201.
Physician's Profile
| Full Name | Dr Roger E Nellans |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 1739 E Beverly Ave, Kingman, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487742201
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 03/26/2015
Medicare PECOS Information:
- PECOS PAC ID: 0749272664
- Enrollment ID: I20071003000408
Medical Identifiers
Medical identifiers for Dr Roger E Nellans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487742201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 15152 (Washington) | Secondary |
| 208800000X | Urology | MD28212 (Oregon) | Primary |
| 208800000X | Urology | 33271 (Arizona) | Secondary |
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 Roger E Nellans allows following entities to bill medicare on his behalf.
| Entity Name | Banner -- University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508809427
PECOS PAC ID: 7719899871
Enrollment ID: O20031105000694 |
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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 Roger E Nellans 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 Roger E Nellans, MD
1739 Beverly Ave, Suite 101,
Kingman, AZ 86409
Ph: (928) 681-8686 | Dr Roger E Nellans, MD
1739 E Beverly Ave, Suite 101,
Kingman, AZ 86409-3593
Ph: (928) 681-8686 |
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