Jacob Dillon Nelson, MD in Charlotte, NC

Jacob Dillon Nelson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Charlotte, North Carolina. His current practice location is 3623 Latrobe Dr Ste 216, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 332-1291.

Jacob Dillon Nelson is licensed to practice in North Carolina (license number 2020-00059) 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 1275037632.

Contact Information

	Jacob Dillon Nelson, MD
	3623 Latrobe Dr Ste 216, Charlotte, NC 28211-2117
	(704) 332-1291
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Dillon Nelson
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	3623 Latrobe Dr Ste 216, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275037632
Provider Enumeration Date: 03/21/2018
Last Update Date: 01/22/2024

Medicare PECOS Information:

PECOS PAC ID: 5991055113
Enrollment ID: I20230525001833

Medical Identifiers

Medical identifiers for Jacob Dillon Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275037632	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	2020-00059 (North Carolina)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Jacob Dillon Nelson allows following entities to bill medicare on his behalf.

Entity Name	University Of North Carolina At Chapel Hill
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359

Entity Name	Mecklenburg Radiology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295790657 PECOS PAC ID: 6800789587 Enrollment ID: O20040205001004

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. Jacob Dillon 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
Jacob Dillon Nelson, MD Po Box 221249, Charlotte, NC 28222-1249 Ph: (704) 332-1291	Jacob Dillon Nelson, MD 3623 Latrobe Dr Ste 216, Charlotte, NC 28211-2117 Ph: (704) 332-1291

Reviews and Comments

Radiology Doctors in Charlotte, NC

Whitney Feltus, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 980-208-1704 Fax: 704-926-1832
Edward Barnwell Black, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1705 East Blvd, Charlotte, NC 28203 Phone: 704-909-5960 Fax: 704-770-0501
Thaddeus Drexel Houston, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 East Blvd, Charlotte, NC 28203 Phone: 704-334-7800 Fax: 704-414-7512
Matthew James Locker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 704-332-1291 Fax: 704-926-1832
Kelli A. Reardon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Queens Rd, Charlotte, NC 28204 Phone: 434-982-0777 Fax: 434-982-0792
Robert Duprey, Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 E Morehead St Ste 300, Charlotte, NC 28202 Phone: 704-334-7800
Mr. Andrew Joseph Bojanowski, PA-C Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 704-332-1291

Jacob Dillon Nelson, MD - Medicare Radiology in Charlotte, NC