Dr David M Nielsen, PH D is a medicare enrolled "Psychologist" provider in Colville, Washington. His current practice location is
165 E Hawthorne Ave, Colville, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 684-4597.
Dr David M Nielsen is licensed to practice in Washington (license number PY00002019) 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 1669544771.
Healthcare Provider's Profile
Full Name | Dr David M Nielsen |
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Gender | Male |
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Speciality | Psychologist |
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Location | 165 E Hawthorne Ave, Colville, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669544771
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2769379692
- Enrollment ID: I20100826000264
Medical Identifiers
Medical identifiers for Dr David M Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669544771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PY00002019 (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. Dr David M Nielsen allows following entities to bill medicare on his behalf.
Entity Name | Stevens County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891792966 PECOS PAC ID: 2466349394 Enrollment ID: O20040303001200 |
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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 David M 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 |
Dr David M Nielsen, PH D 620 E 10th Ave, Colville, WA 99114-9410 Ph: (509) 685-1965 | Dr David M Nielsen, PH D 165 E Hawthorne Ave, Colville, WA 99114-2629 Ph: (509) 684-4597 |
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