Jacob Henry Nelson, DO in Salem, OR - Medicare General Practice

Jacob Henry Nelson, DO is a medicare enrolled "General Practice" physician in Salem, Oregon. His current practice location is 4764 Glenallen Ct Ne, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (360) 831-3123.

Jacob Henry Nelson is licensed to practice in Oregon (license number DO212889) 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 1568920882.

Contact Information

	Jacob Henry Nelson, DO
	4764 Glenallen Ct Ne, Salem, OR 97305-3030
	(360) 831-3123
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Henry Nelson
Gender	Male
Speciality	General Practice
Location	4764 Glenallen Ct Ne, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568920882
Provider Enumeration Date: 03/05/2019
Last Update Date: 08/31/2022

Medicare PECOS Information:

PECOS PAC ID: 4587034988
Enrollment ID: I20221229001476

Medical Identifiers

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

Identifier	Type	State	Issuer
1568920882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	0116035953 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208D00000X	General Practice	DO212889 (Oregon)	Primary

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 Henry Nelson allows following entities to bill medicare on his behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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 Henry 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 Henry Nelson, DO 4764 Glenallen Ct Ne, Salem, OR 97305-3030 Ph: (360) 831-3123	Jacob Henry Nelson, DO 4764 Glenallen Ct Ne, Salem, OR 97305-3030 Ph: (360) 831-3123

Reviews and Comments

General Practice Doctors in Salem, OR

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Jacob Henry Nelson, DO - Medicare General Practice in Salem, OR