Taylor Keller Nelson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Driggs, Idaho. His current practice location is
120 East Howard Avenue, Teton Valley Health Care, Driggs, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 354-6302.
Taylor Keller Nelson is licensed to practice in Idaho (license number RNA746) 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 1184863219.
Provider's Profile
| Full Name | Taylor Keller Nelson |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 120 East Howard Avenue, Driggs, Idaho |
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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: 1184863219
- Provider Enumeration Date: 02/12/2009
- Last Update Date: 11/04/2016
Medicare PECOS Information:
- PECOS PAC ID: 3173680121
- Enrollment ID: I20090319000242
Medical Identifiers
Medical identifiers for Taylor Keller Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184863219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | RNA746 (Idaho) | 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. Taylor Keller Nelson allows following entities to bill medicare on his behalf.
| Entity Name | Intermountain Anesthesia Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558304329
PECOS PAC ID: 5193638781
Enrollment ID: O20040825000367 |
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| Entity Name | Teton Valley Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013264183
PECOS PAC ID: 3870744956
Enrollment ID: O20121128000587 |
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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. Taylor Keller 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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Taylor Keller Nelson, CRNA
120 East Howard Avenue, Teton Valley Health Care,
Driggs, ID 83422-5112
Ph: (208) 354-6302 | Taylor Keller Nelson, CRNA
120 East Howard Avenue, Teton Valley Health Care,
Driggs, ID 83422-5112
Ph: (208) 354-6302 |
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