Dr Adam Sanford Nielson, MD in Roosevelt, UT - Medicare Emergency Medicine

Dr Adam Sanford Nielson, MD is a medicare enrolled "Emergency Medicine" physician in Roosevelt, Utah. His current practice location is 250 W 300 N, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 722-4691.

Dr Adam Sanford Nielson is licensed to practice in Utah (license number 10104037-1205) 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 1790756815.

Contact Information

	Dr Adam Sanford Nielson, MD
	250 W 300 N, Roosevelt, UT 84066-2351
	(435) 722-4691
	(435) 722-9291

Map and Direction

Physician's Profile

Full Name	Dr Adam Sanford Nielson
Gender	Male
Speciality	Emergency Medicine
Location	250 W 300 N, Roosevelt, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790756815
Provider Enumeration Date: 01/27/2006
Last Update Date: 01/29/2025

Medicare PECOS Information:

PECOS PAC ID: 0143350710
Enrollment ID: I20100608000313

Medical Identifiers

Medical identifiers for Dr Adam Sanford Nielson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790756815	NPI	-	NPPES
1790756815	Medicaid	MT
1790756815	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD60130455 (Washington)	Secondary
208D00000X	General Practice	23355 (Nebraska)	Secondary
207P00000X	Emergency Medicine	10104037-1205 (Utah)	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 Adam Sanford Nielson allows following entities to bill medicare on his behalf.

Entity Name	Tacoma Emergency Care Physicians Inc Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770823791 PECOS PAC ID: 5294971800 Enrollment ID: O20130425000636

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 Adam Sanford Nielson 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 Adam Sanford Nielson, MD 250 W 300 N, Roosevelt, UT 84066-2351 Ph: (719) 282-8710	Dr Adam Sanford Nielson, MD 250 W 300 N, Roosevelt, UT 84066-2351 Ph: (435) 722-4691

Reviews and Comments

Emergency Medicine Doctors in Roosevelt, UT

Dr. Kathryn Olsen Cockerham, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 801-722-4691
Braxton Ray Duncan, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691
Dr. Peter Lee Tanner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691 Fax: 435-722-9291
Dr. Lawrence Lynn Morrill, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N 75-3, Roosevelt, UT 84066 Phone: 435-722-3971 Fax: 435-722-6104
Dr. Aaron Bagley Stevens, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691 Fax: 435-722-9291
Colby Duncan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691
Jason Jerry Larson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291

Dr Adam Sanford Nielson, MD - Medicare Emergency Medicine in Roosevelt, UT