Jennifer Nelson, MD is a medicare enrolled "Otolaryngology" physician in Radford, Virginia. She went to University Of Washington School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Lewis Gale Physicians Llc and her current practice location is
106 Wadsworth St, Radford, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 639-9023.
Jennifer Nelson is licensed to practice in Virginia (license number 0101256585) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942439096.
Physician's Profile
Full Name | Jennifer Nelson |
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Gender | Female |
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Speciality | Otolaryngology |
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Experience | 15 Years |
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Location | 106 Wadsworth St, Radford, Virginia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jennifer Nelson attended and graduated from University Of Washington School Of Medicine in 2009
NPI Data:
- NPI Number: 1942439096
- Provider Enumeration Date: 07/10/2009
- Last Update Date: 01/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103068432
- Enrollment ID: I20141118002150
Medical Identifiers
Medical identifiers for Jennifer Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942439096 | NPI | - | NPPES |
1366486664 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 0101256585 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lewis Gale Physicians Llc | 6507886231 | 187 |
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. Jennifer Nelson allows following entities to bill medicare on her behalf.
Entity Name | Montgomery Surgery Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366486664 PECOS PAC ID: 6204871312 Enrollment ID: O20050620000981 |
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Entity Name | Lewis Gale Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902977705 PECOS PAC ID: 6507886231 Enrollment ID: O20051128000164 |
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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. Jennifer 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 |
Jennifer Nelson, MD 830 Davis St, Suite 1, Blacksburg, VA 24060-7010 Ph: (540) 443-7400 | Jennifer Nelson, MD 106 Wadsworth St, Radford, VA 24141-1439 Ph: (540) 639-9023 |
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