Brayden Nielsen, PA-S is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Charleston, South Carolina. His current practice location is
21 Sires St Apt A, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(802) 318-2154.
Brayden Nielsen 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 1376306621.
Provider's Profile
| Full Name | Brayden Nielsen |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 21 Sires St Apt A, Charleston, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1376306621
- Provider Enumeration Date: 01/31/2024
- Last Update Date: 01/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143756353
- Enrollment ID: I20241211003341
Medical Identifiers
Medical identifiers for Brayden Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376306621 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Brayden Nielsen 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 |
|---|
Brayden Nielsen, PA-S
21 Sires St Apt A,
Charleston, SC 29403-5979
Ph: (802) 318-2154 | Brayden Nielsen, PA-S
21 Sires St Apt A,
Charleston, SC 29403-5979
Ph: (802) 318-2154 |
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