Todd Robert Nelson, MD is a medicare enrolled "Family Medicine" physician in Millcreek, Utah. He went to University Of Cincinnati College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Granger Medical Clinic Pc, Granger Medical Specialists Llc and his current practice location is
999 E Murray Holladay Rd, Millcreek, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 965-3600.
Todd Robert Nelson is licensed to practice in Utah (license number 365595-1205) 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 1902917495.
Physician's Profile
Full Name | Todd Robert Nelson |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 27 Years |
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Location | 999 E Murray Holladay Rd, Millcreek, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Todd Robert Nelson attended and graduated from University Of Cincinnati College Of Medicine in 1997
NPI Data:
- NPI Number: 1902917495
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 04/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971527714
- Enrollment ID: I20060119000890
Medical Identifiers
Medical identifiers for Todd Robert Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902917495 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 365595-1205 (Utah) | Secondary |
207Q00000X | Family Medicine | 365595-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Granger Medical Clinic Pc | 3476465691 | 149 |
Granger Medical Specialists Llc | 4587074356 | 155 |
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. Todd Robert Nelson allows following entities to bill medicare on his behalf.
Entity Name | Granger Medical Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
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Entity Name | Granger Medical Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
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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. Todd Robert 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 |
Todd Robert Nelson, MD 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | Todd Robert Nelson, MD 999 E Murray Holladay Rd, Millcreek, UT 84117-4901 Ph: (801) 965-3600 |
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