Jared William Nelson, MD is a
Family Medicine physician based in Fairchild Air Force Base, Washington. Jared William Nelson is licensed to practice in Oregon (license number MD17089) and his current practice location is 701 Hospital Loop, 92 Medical Group, Fairchild Air Force Base, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 247-5661.
NPI number for Jared William Nelson is 1528034980 and his current mailing address is 701 Hospital Loop, 92 Medical Operations Squadron/sgop, Fairchild Afb, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528034980.
Physician's Profile
| Full Name | Jared William Nelson |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 701 Hospital Loop, Fairchild Air Force Base, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528034980
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 03/24/2016
Medical Identifiers
Medical identifiers for Jared William Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528034980 | NPI | - | NPPES |
| 287973 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | MD17089 (Oregon) | 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. Jared William 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 |
|---|
Jared William Nelson, MD
701 Hospital Loop, 92 Medical Operations Squadron/sgop,
Fairchild Afb, WA 99011
Ph: (509) 247-5661 | Jared William Nelson, MD
701 Hospital Loop, 92 Medical Group,
Fairchild Air Force Base, WA 99011
Ph: (509) 247-5661 |
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