Brad Nielson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Willcox, Arizona. His current practice location is
1930 N Haiden Ln, Willcox, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 335-1862.
Brad Nielson is licensed to practice in Arizona (license number 293673) 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 1285246041.
Provider's Profile
| Full Name | Brad Nielson |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1930 N Haiden Ln, Willcox, Arizona |
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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: 1285246041
- Provider Enumeration Date: 08/21/2020
- Last Update Date: 06/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466812508
- Enrollment ID: I20230720001544
Medical Identifiers
Medical identifiers for Brad Nielson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285246041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN211989 (Arizona) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 293673 (Arizona) | 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. Brad Nielson allows following entities to bill medicare on his behalf.
| Entity Name | Bisbee Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518968767
PECOS PAC ID: 5092626168
Enrollment ID: O20040623001007 |
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| Entity Name | Anesthesia Partners Of Arizona Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619452901
PECOS PAC ID: 8628317179
Enrollment ID: O20190228001927 |
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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. Brad 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 |
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Brad Nielson,
1930 N Haiden Ln,
Willcox, AZ 85643-3396
Ph: (480) 335-1862 | Brad Nielson,
1930 N Haiden Ln,
Willcox, AZ 85643-3396
Ph: (480) 335-1862 |
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