Raoul Devin Nelson, - Medicare Pediatric Medicine in Salt Lake City, UT

Raoul Devin Nelson, is a medicare enrolled "Pediatrics - Pediatric Nephrology" physician in Salt Lake City, Utah. He went to Washington University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice University Of Utah Pediatric Services and his current practice location is 100 Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 587-7575.

Raoul Devin Nelson is licensed to practice in Utah (license number 177029-1205) 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 1972682540.

Contact Information

Raoul Devin Nelson,
100 Mario Capecchi Dr,
Salt Lake City, UT 84113-1103
(801) 587-7575
Not Available

Map and Direction




Physician's Profile

Full NameRaoul Devin Nelson
GenderMale
SpecialityPediatric Medicine
Experience38 Years
Location100 Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Raoul Devin Nelson attended and graduated from Washington University School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1972682540
  • Provider Enumeration Date: 11/03/2006
  • Last Update Date: 11/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6002863982
  • Enrollment ID: I20050402000004

Medical Identifiers

Medical identifiers for Raoul Devin Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972682540NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0210XPediatrics - Pediatric Nephrology 177029-1205 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Utah Pediatric Services054755247370

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. Raoul Devin Nelson allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079
Entity NameUniversity Of Utah Pediatric Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487018974
PECOS PAC ID: 0547552473
Enrollment ID: O20160713000371

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. Raoul Devin 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 AddressPractice Location Address
Raoul Devin Nelson,
Po Box 413021,
Salt Lake City, UT 84141-3021

Ph: (801) 213-3900
Raoul Devin Nelson,
100 Mario Capecchi Dr,
Salt Lake City, UT 84113-1103

Ph: (801) 587-7575

Reviews and Comments


Pediatrics Doctors in Salt Lake City, UT

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George W Delavan, MD
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Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132
Phone: 801-584-8239    Fax: 801-584-8588
Michelle Ploutz,
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Medicare: Medicare Enrolled
Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113
Phone: 801-662-1000    Fax: 018-213-7778

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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