Todd Gordon Nelson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Morton, Washington. His current practice location is
521 Adams Ave, Morton, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 496-5112.
Todd Gordon Nelson is licensed to practice in Washington (license number AP60786034) 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 1740217389.
Provider's Profile
| Full Name | Todd Gordon Nelson |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 521 Adams Ave, Morton, Washington |
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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: 1740217389
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 11/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224024278
- Enrollment ID: I20170914001342
Medical Identifiers
Medical identifiers for Todd Gordon Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740217389 | NPI | - | NPPES |
| 2105898 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 098006952RN (Oregon) | Secondary |
| 163W00000X | Registered Nurse | RN00073075 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 098006952CRNA (Oregon) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP60786034 (Washington) | 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. Todd Gordon Nelson allows following entities to bill medicare on his behalf.
| Entity Name | Lewis County Hospital District No 1 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205882909
PECOS PAC ID: 6002727385
Enrollment ID: O20040121000814 |
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| Entity Name | Public Hospital District No 1 Of Mason County |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1164650032
PECOS PAC ID: 0345139275
Enrollment ID: O20090921000676 |
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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 Gordon 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 Gordon Nelson, CRNA
Po Box 4008,
Portland, OR 97208-4008
Ph: (503) 372-2740 | Todd Gordon Nelson, CRNA
521 Adams Ave,
Morton, WA 98356-9323
Ph: (360) 496-5112 |
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