Kristen Michelle Nelson, MD in Russellville, AR

Kristen Michelle Nelson, MD is a medicare enrolled "Pediatrics" physician in Russellville, Arkansas. Her current practice location is 101 Skyline Dr, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 968-2345.

Kristen Michelle Nelson is licensed to practice in Arkansas (license number E-6533) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073720868.

Contact Information

	Kristen Michelle Nelson, MD
	101 Skyline Dr, Russellville, AR 72801-3363
	(479) 968-2345
	(479) 890-7169

Map and Direction

Physician's Profile

Full Name	Kristen Michelle Nelson
Gender	Female
Speciality	Pediatrics
Location	101 Skyline Dr, Russellville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073720868
Provider Enumeration Date: 05/17/2007
Last Update Date: 02/25/2015

Medicare PECOS Information:

PECOS PAC ID: 2365637212
Enrollment ID: I20101117000705

Medical Identifiers

Medical identifiers for Kristen Michelle Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073720868	NPI	-	NPPES
185138001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	E-6533 (Arkansas)	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. Kristen Michelle Nelson allows following entities to bill medicare on her behalf.

Entity Name	St Marys Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124084991 PECOS PAC ID: 4981698032 Enrollment ID: O20040609000759

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. Kristen Michelle 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
Kristen Michelle Nelson, MD 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345	Kristen Michelle Nelson, MD 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345

Reviews and Comments

Pediatrics Doctors in Russellville, AR

Robin L. Kirby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 220 N Sidney, Russellville, AR 72801 Phone: 479-498-0858 Fax: 479-498-0809
Lynette Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7169
Mr. Nathan Taylor Reynolds, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Rd, Russellville, AR 72802 Phone: 479-967-2322
Rick Wayne Harrison, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7169
Dr. Chadwick Jerold Masters, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7169
Dr. Howard Madison Orsburn Iv, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7169

Kristen Michelle Nelson, MD - Medicare Pediatrics in Russellville, AR