Susan K Nelson, MD is a medicare enrolled "Family Medicine" physician in New Hope, Minnesota. Her current practice location is
5500 Boone Ave N, New Hope, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(701) 793-4444.
Susan K Nelson is licensed to practice in Minnesota (license number 39672) 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 1174617732.
Physician's Profile
| Full Name | Susan K Nelson |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 5500 Boone Ave N, New Hope, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174617732
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254352248
- Enrollment ID: I20051219000435
Medical Identifiers
Medical identifiers for Susan K Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174617732 | NPI | - | NPPES |
| 1174617732 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 39672 (Minnesota) | 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. Susan K Nelson allows following entities to bill medicare on her behalf.
| Entity Name | Theoria Medical |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20210802000915 |
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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. Susan K 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 |
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Susan K Nelson, MD
40016 Edison Dr Ne,
Stanchfield, MN 55080-3232
Ph: (701) 793-4444 | Susan K Nelson, MD
5500 Boone Ave N,
New Hope, MN 55428-3629
Ph: (701) 793-4444 |
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