Richard Nielsen, is a medicare enrolled "Podiatrist" provider in Susanville, California. He went to California School Of Podiatric Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Last Frontier Healthcare District, Mountain Valleys Health Centers and his current practice location is
701 Nevada St, Susanville, California. You can reach out to his office (for appointments etc.) via phone at
(530) 257-4137.
Richard Nielsen is licensed to practice in California (license number E2220) 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 1417955113.
Healthcare Provider's Profile
| Full Name | Richard Nielsen |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 47 Years |
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| Location | 701 Nevada St, Susanville, California |
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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:
- Richard Nielsen attended and graduated from California School Of Podiatric Medicine in 1977
NPI Data:
- NPI Number: 1417955113
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 08/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355379611
- Enrollment ID: I20050728001108
Medical Identifiers
Medical identifiers for Richard Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417955113 | NPI | - | NPPES |
| 1417955113 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | E2220 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Last Frontier Healthcare District | 2466447412 | 16 |
| Mountain Valleys Health Centers | 4284685538 | 29 |
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. Richard Nielsen allows following entities to bill medicare on his behalf.
| Provider Name | Mccloud Healthcare Clinic, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164428488
PECOS PAC ID: 3779494919
Enrollment ID: O20031118001091 |
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| Provider Name | Last Frontier Healthcare District |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1487669032
PECOS PAC ID: 2466447412
Enrollment ID: O20040419000563 |
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| Provider Name | Mountain Valleys Health Centers |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356438261
PECOS PAC ID: 4284685538
Enrollment ID: O20050429000424 |
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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. Richard 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 |
|---|
Richard Nielsen,
701 Nevada St,
Susanville, CA 96130-3912
Ph: (530) 257-4137 | Richard Nielsen,
701 Nevada St,
Susanville, CA 96130-3912
Ph: (530) 257-4137 |
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