Ryan James Nelson, DO - Medicare Urology in Utica, MI

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Ryan James Nelson, DO is a medicare enrolled "Urology" physician in Utica, Michigan. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Urology. He is a member of the group practice Michigan Institute Of Urology Pc, Mclaren Macomb and his current practice location is 11051 Hall Rd Ste 200, Utica, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 254-5759.

Ryan James Nelson is licensed to practice in Michigan (license number 5101018424) 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 1194955831.

Contact Information

Ryan James Nelson, DO
11051 Hall Rd Ste 200,
Utica, MI 48317-5742
(586) 254-5759
(586) 254-5793

Map and Direction




Physician's Profile

Full NameRyan James Nelson
GenderMale
SpecialityUrology
Experience15 Years
Location11051 Hall Rd Ste 200, Utica, Michigan
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:
  • Ryan James Nelson graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1194955831
  • Provider Enumeration Date: 07/15/2009
  • Last Update Date: 04/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183937055
  • Enrollment ID: I20170419000650

Medical Identifiers

Medical identifiers for Ryan James Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194955831NPI-NPPES
0E06273OtherMIBCBSM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 5101018425 (Michigan)Secondary
208800000XUrology 5101018424 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford Macomb HospitalClinton township, MIHospital
Beaumont Hospital, TroyTroy, MIHospital
Ascension St John HospitalDetroit, MIHospital
Beaumont Hospital Royal OakRoyal oak, MIHospital
Beaumont Hospital - Grosse PointeGrosse pointe, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Michigan Institute Of Urology Pc105222349275
Mclaren Macomb8921912791115

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. Ryan James Nelson allows following entities to bill medicare on his behalf.
Entity NameMichigan Institute Of Urology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427027416
PECOS PAC ID: 1052223492
Enrollment ID: O20031125000770
Entity NameMclaren Macomb
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396014601
PECOS PAC ID: 8921912791
Enrollment ID: O20040120001000
Entity NameBeaumont Medical Group- Specialty Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578072906
PECOS PAC ID: 7214299866
Enrollment ID: O20180320002549

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. Ryan James 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
Ryan James Nelson, DO
20952 E 12 Mile Rd Ste 200,
Saint Clair Shores, MI 48081-3203

Ph: (586) 771-4820		Ryan James Nelson, DO
11051 Hall Rd Ste 200,
Utica, MI 48317-5742

Ph: (586) 254-5759

Reviews and Comments


Urology Doctors in Utica, MI

John R Harding, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 11051 Hall Rd, Suite 200, Utica, MI 48317
Phone: 586-254-5759    Fax: 586-254-5793
Earl R Koenig, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 11051 Hall Rd, Suite 200, Utica, MI 48317
Phone: 586-254-5759    Fax: 586-254-5793

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.