Nathaniel Phelan, MD is a medicare enrolled "Dermatology" physician in Joplin, Missouri. He went to University Of Arkansas College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Dermatology. His current practice location is
520 E 32nd St, Joplin, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 622-0293.
Nathaniel Phelan is licensed to practice in Missouri (license number 2018014111) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225327422.
Physician's Profile
Full Name | Nathaniel Phelan |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 13 Years |
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Location | 520 E 32nd St, Joplin, Missouri |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Nathaniel Phelan attended and graduated from University Of Arkansas College Of Medicine in 2011
NPI Data:
- NPI Number: 1225327422
- Provider Enumeration Date: 03/29/2011
- Last Update Date: 09/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769799535
- Enrollment ID: I20200911001609
Medical Identifiers
Medical identifiers for Nathaniel Phelan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225327422 | NPI | - | NPPES |
2018014111 | Other | MO | DERMATOLOGY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 2018014111 (Missouri) | Primary |
Medical Facilities Affiliation
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. Nathaniel Phelan allows following entities to bill medicare on his behalf.
Entity Name | Phelan Dermatology & Aesthetics |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942881677 PECOS PAC ID: 9234538331 Enrollment ID: O20210521001480 |
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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. Nathaniel Phelan 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 |
Nathaniel Phelan, MD 520 E 32nd St, Joplin, MO 64804-3904 Ph: (417) 622-0293 | Nathaniel Phelan, MD 520 E 32nd St, Joplin, MO 64804-3904 Ph: (417) 622-0293 |
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