Marianne Nelson, MD is a medicare enrolled "Family Medicine" physician in Brook, Indiana. Her current practice location is
420 E Main St, Brook, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 275-2521.
Marianne Nelson is licensed to practice in Indiana (license number 01033812) 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 1619969961.
Physician's Profile
Full Name | Marianne Nelson |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 420 E Main St, Brook, Indiana |
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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: 1619969961
- Provider Enumeration Date: 08/22/2005
- Last Update Date: 12/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 1557545589
- Enrollment ID: I20110414000955
Medical Identifiers
Medical identifiers for Marianne Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619969961 | NPI | - | NPPES |
000001130557 | Other | | ANTHEM |
100143000 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 01033812 (Indiana) | 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. Marianne Nelson allows following entities to bill medicare on her behalf.
Entity Name | Lafayette Emergency Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861447211 PECOS PAC ID: 9830189240 Enrollment ID: O20040517001198 |
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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. Marianne 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 |
Marianne Nelson, MD Po Box 771923, Detroit, MI 48278-1923 Ph: (317) 528-8000 | Marianne Nelson, MD 420 E Main St, Brook, IN 47922-8715 Ph: (219) 275-2521 |
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