Nelson R Perez, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Kennett, Missouri. He went to University Of Puerto Rico School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Southeast Missouri Health Network and his current practice location is
304 Teaco Rd, Suite G, Kennett, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 888-4370.
Nelson R Perez is licensed to practice in Missouri (license number 117744) 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 1043363005.
Physician's Profile
| Full Name | Nelson R Perez |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 41 Years |
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| Location | 304 Teaco Rd, Kennett, Missouri |
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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:
- Nelson R Perez attended and graduated from University Of Puerto Rico School Of Medicine in 1983
NPI Data:
- NPI Number: 1043363005
- Provider Enumeration Date: 01/20/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4880503424
- Enrollment ID: I20051026000184
Medical Identifiers
Medical identifiers for Nelson R Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043363005 | NPI | - | NPPES |
| 136782001 | Medicaid | AR | |
| 203904503 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 117744 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeast Missouri Health Network | 6507818044 | 17 |
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. Nelson R Perez allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Clinic Springfield Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060 |
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| Entity Name | Southeast Missouri Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609095975
PECOS PAC ID: 6507818044
Enrollment ID: O20050412000011 |
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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. Nelson R Perez 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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Nelson R Perez, MD
1217 Pintail Cv,
Kennett, MO 63857-3833
Ph: (573) 888-4775 | Nelson R Perez, MD
304 Teaco Rd, Suite G,
Kennett, MO 63857-3266
Ph: (573) 888-4370 |
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