Dr Eric Douglas Nielsen, OD is a medicare enrolled "Optometrist" provider in Mountain Home A F B, Idaho. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Anthony T. Pham, O.d., P.c. and his current practice location is
90 Hope Dr, Optometry Clinic, Mountain Home A F B, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 828-7250.
Dr Eric Douglas Nielsen is licensed to practice in Oklahoma (license number 1184) 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 1225020597.
Healthcare Provider's Profile
| Full Name | Dr Eric Douglas Nielsen |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 36 Years |
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| Location | 90 Hope Dr, Mountain Home A F B, Idaho |
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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. |
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Medical Education and Training:
- Dr Eric Douglas Nielsen graduated from medical school in 1988
NPI Data:
- NPI Number: 1225020597
- Provider Enumeration Date: 08/22/2005
- Last Update Date: 07/20/2007
Medicare PECOS Information:
- PECOS PAC ID: 4284812975
- Enrollment ID: I20110628000697
Medical Identifiers
Medical identifiers for Dr Eric Douglas Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225020597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 1184 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Anthony T. Pham, O.d., P.c. | 5597829929 | 2 |
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. Dr Eric Douglas Nielsen allows following entities to bill medicare on his behalf.
| Provider Name | Anthony T. Pham, O.d., P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1033253703
PECOS PAC ID: 5597829929
Enrollment ID: O20090130000205 |
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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. Dr Eric Douglas 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 |
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Dr Eric Douglas Nielsen, OD
1055 E 19th N,
Mountain Home, ID 83647-1800
Ph: (208) 587-0939 | Dr Eric Douglas Nielsen, OD
90 Hope Dr, Optometry Clinic,
Mountain Home A F B, ID 83648-1057
Ph: (208) 828-7250 |
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