Mrs Elly Nelson, PT is a medicare enrolled "Physical Therapist" provider in Mounds, Illinois. She graduated from medical school in 1998 and has 27 years of diverse experience with area of expertise as Physical Therapy. Her current practice location is
429 S Blanche St, Mounds, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 745-9419.
Mrs Elly Nelson is licensed to practice in Illinois (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932140720.
Healthcare Provider's Profile
| Full Name | Mrs Elly Nelson |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 27 Years |
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| Location | 429 S Blanche St, Mounds, Illinois |
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| Accepts Medicare Assignments | Yes. She 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:
- Mrs Elly Nelson graduated from medical school in 1998
NPI Data:
- NPI Number: 1932140720
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7618946898
- Enrollment ID: I20040927000087
Medical Identifiers
Medical identifiers for Mrs Elly Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932140720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (Illinois) | 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. Mrs Elly Nelson allows following entities to bill medicare on her behalf.
| Provider Name | Diversified Rehab Services, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1760420327
PECOS PAC ID: 2264435577
Enrollment ID: O20060804000314 |
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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. Mrs Elly 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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Mrs Elly Nelson, PT
429 S Blanche St,
Mounds, IL 62964-1107
Ph: (618) 745-9419 | Mrs Elly Nelson, PT
429 S Blanche St,
Mounds, IL 62964-1107
Ph: (618) 745-9419 |
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