Robert W Nelson, MD | |
440 Woodward Ave, Iron Mountain, MI 49801-4631 | |
(906) 776-9040 | |
(906) 774-5950 |
Full Name | Robert W Nelson |
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Gender | Male |
Speciality | Family Medicine |
Location | 440 Woodward Ave, Iron Mountain, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598743882 | NPI | - | NPPES |
ABIM-MOC | Other | AMERICAN BOARD OF FAMILY MEDICINE | |
291645419A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301117312 (Michigan) | Primary |
207Q00000X | Family Medicine | 65037 (Georgia) | Secondary |
Entity Name | Northeast Georgia Physicians Group Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790875037 PECOS PAC ID: 3274535687 Enrollment ID: O20070214000012 |
Mailing Address | Practice Location Address |
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Robert W Nelson, MD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7222 | Robert W Nelson, MD 440 Woodward Ave, Iron Mountain, MI 49801-4631 Ph: (906) 776-9040 |
Robert G. Scharffenberg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 325 H. Street, Vamc, Im, Iron Mountain, MI 49801 Phone: 906-774-3300 | |
Gregory William Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 | |
Ellen E Van Laanen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Woodward Ave, Iron Mountain, MI 49801 Phone: 906-776-9040 Fax: 906-774-7279 | |
Dr. Beth Ann Schroeder, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801 Phone: 906-774-1633 Fax: 906-774-4451 | |
Dr. Daniel J Mcmahon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Woodward Ave, Iron Mountain, MI 49801 Phone: 906-776-9040 Fax: 906-774-7279 | |
Dr. Aldo John Domenichini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 | |
Dr. Daniel M Mitchell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801 Phone: 906-774-1633 Fax: 906-774-4451 |