Jacob Nelson, DO is a
Pediatrics physician based in Dyess Afb, Texas. Jacob Nelson is licensed to practice in Idaho (license number O-1220) and his current practice location is 697 Louisiana Rd, Dyess Afb, Texas. He can be reached at his office (for appointments etc.) via phone at
(325) 696-4677.
NPI number for Jacob Nelson is 1144675679 and his current mailing address is 697 Louisiana Rd, Dyess Afb, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144675679.
Physician's Profile
Full Name | Jacob Nelson |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 697 Louisiana Rd, Dyess Afb, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144675679
- Provider Enumeration Date: 05/03/2016
- Last Update Date: 06/21/2019
Medical Identifiers
Medical identifiers for Jacob Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144675679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | BP10056551 (Texas) | Secondary |
208000000X | Pediatrics | O-1220 (Idaho) | Primary |
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 Nelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacob Nelson, DO 697 Louisiana Rd, Dyess Afb, TX 79607-1141 Ph: (325) 696-4677 | Jacob Nelson, DO 697 Louisiana Rd, Dyess Afb, TX 79607-1141 Ph: (325) 696-4677 |
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