Melissa Nelson, is a medicare enrolled "Social Worker - Clinical" provider in Milwaukee, Wisconsin. Her current practice location is
2414 N Farwell Ave Ste 1, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 413-4800.
Melissa Nelson is licensed to practice in Wisconsin (license number 11142123) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104688589.
Healthcare Provider's Profile
| Full Name | Melissa Nelson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2414 N Farwell Ave Ste 1, Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104688589
- Provider Enumeration Date: 01/30/2024
- Last Update Date: 06/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 5698110831
- Enrollment ID: I20240228000808
Medical Identifiers
Medical identifiers for Melissa Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104688589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17048132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11142123 (Wisconsin) | 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. Melissa Nelson allows following entities to bill medicare on her behalf.
| Entity Name | Tms Clinical Services Of Wisconsin Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528734902
PECOS PAC ID: 6709279482
Enrollment ID: O20220201000791 |
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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. Melissa 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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Melissa Nelson,
2800 E Enterprise Ave Ste 333,
Appleton, WI 54913-7889
Ph: (414) 413-4800 | Melissa Nelson,
2414 N Farwell Ave Ste 1,
Milwaukee, WI 53211-4414
Ph: (414) 413-4800 |
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