Dr Anthony Carl Nelson, MD - Medicare General Surgery in Wauwatosa, WI

Dr Anthony Carl Nelson, MD is a medicare enrolled "Surgery" physician in Wauwatosa, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2007 and has 17 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Wheaton Franciscan Medical Group Inc, Wisconsin Health Fund and his current practice location is 201 N Mayfair Rd Fl 2, Wauwatosa, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 874-4870.

Dr Anthony Carl Nelson is licensed to practice in Wisconsin (license number 52337-20) 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 1669695805.

Contact Information

Dr Anthony Carl Nelson, MD
201 N Mayfair Rd Fl 2,
Wauwatosa, WI 53226-4216
(414) 874-4870
(414) 874-4899

Map and Direction




Physician's Profile

Full NameDr Anthony Carl Nelson
GenderMale
SpecialityGeneral Surgery
Experience17 Years
Location201 N Mayfair Rd Fl 2, Wauwatosa, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Anthony Carl Nelson attended and graduated from Medical College Of Wisconsin in 2007
  NPI Data:
  • NPI Number: 1669695805
  • Provider Enumeration Date: 04/10/2007
  • Last Update Date: 07/02/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8123274644
  • Enrollment ID: I20120815000526

Medical Identifiers

Medical identifiers for Dr Anthony Carl Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669695805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 52337-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Se Wisconsin Hospital - St Joseph CampusMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wheaton Franciscan Medical Group Inc8628980943594
Wisconsin Health Fund307240129828

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 Anthony Carl Nelson allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-northern Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265507537
PECOS PAC ID: 8426960022
Enrollment ID: O20031103000345
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421
Entity NameWisconsin Health Fund
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497768659
PECOS PAC ID: 3072401298
Enrollment ID: O20040309000864

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 Anthony Carl 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 AddressPractice Location Address
Dr Anthony Carl Nelson, MD
201 N Mayfair Rd Fl 2,
Wauwatosa, WI 53226-4216

Ph: (414) 874-4870
Dr Anthony Carl Nelson, MD
201 N Mayfair Rd Fl 2,
Wauwatosa, WI 53226-4216

Ph: (414) 874-4870

Reviews and Comments


Surgery Doctors in Wauwatosa, WI

Kun-tai Hsu, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226
Phone: 414-955-4263    Fax: 414-955-6286
Dr. James Allen Vanheest, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 201 N Mayfair Rd, Suite 535, Wauwatosa, WI 53226
Phone: 414-258-5130    Fax: 414-258-5150
Dr. Jan Riecan, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 North Mayfair Road, Suite 410, Wauwatosa, WI 53226
Phone: 414-774-1919    
Dr. James Patrick Ketterhagen, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 204 N 86th St, Wauwatosa, WI 53226
Phone: 561-319-2133    Fax: 561-634-2015
Edward B Smith, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222
Phone: 414-771-7900    Fax: 414-607-6336
Dr. Hanadi Bu-ali, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 201 N Mayfair Rd, 3rd Floor, Wauwatosa, WI 53226
Phone: 414-256-1920    Fax: 414-256-1921
Nelson Agustin Rodriguez Unda, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226
Phone: 414-955-1000    Fax: 414-955-0183

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.