Tanner Cole Nielson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jackson, Mississippi. His current practice location is
2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(018) 156-7006.
Tanner Cole Nielson is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750086419.
Physician's Profile
Full Name | Tanner Cole Nielson |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 2500 N State St, Jackson, Mississippi |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750086419
- Provider Enumeration Date: 04/03/2023
- Last Update Date: 07/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365896685
- Enrollment ID: I20230920002510
Medical Identifiers
Medical identifiers for Tanner Cole Nielson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750086419 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 1750086419 (Mississippi) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Tanner Cole Nielson 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 |
Tanner Cole Nielson, MD 18575 Old Highway 49, Saucier, MS 39574-8419 Ph: (228) 243-9630 | Tanner Cole Nielson, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (018) 156-7006 |
Reviews and Comments