Jose Edwin Nieves, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fort Eustis, Virginia. His current practice location is
576 Jefferson Ave, Fort Eustis, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 314-7712.
Jose Edwin Nieves is licensed to practice in Virginia (license number 42865) 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 1013974005.
Physician's Profile
Full Name | Jose Edwin Nieves |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 576 Jefferson Ave, Fort Eustis, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013974005
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 08/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648604231
- Enrollment ID: I20200108000522
Medical Identifiers
Medical identifiers for Jose Edwin Nieves such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013974005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 42865 (Virginia) | 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. Jose Edwin Nieves 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 |
Jose Edwin Nieves, MD 576 Jefferson Ave, Fort Eustis, VA 23604-1373 Ph: (757) 314-7712 | Jose Edwin Nieves, MD 576 Jefferson Ave, Fort Eustis, VA 23604-1373 Ph: (757) 314-7712 |
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