Dr Chadd Dee Nelson, DO is a medicare enrolled "Internal Medicine" physician in Randolph Air Force Base, Texas. His current practice location is
221 3rd St W, Randolph Air Force Base, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 652-6403.
Dr Chadd Dee Nelson is licensed to practice in Utah (license number 285235-1204) 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 1619904679.
Physician's Profile
| Full Name | Dr Chadd Dee Nelson |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 221 3rd St W, Randolph Air Force Base, Texas |
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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: 1619904679
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 09/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769488923
- Enrollment ID: I20200824002982
Medical Identifiers
Medical identifiers for Dr Chadd Dee Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619904679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 285235-1204 (Utah) | Secondary |
| 207R00000X | Internal Medicine | 285235-1204 (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 Chadd Dee Nelson allows following entities to bill medicare on his behalf.
| Entity Name | Kayenta Alternative Rural Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174692529
PECOS PAC ID: 3678558129
Enrollment ID: O20040621000422 |
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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 Chadd Dee 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 |
|---|
Dr Chadd Dee Nelson, DO
1830 N 145th Ave Apt 1001,
Goodyear, AZ 85395-5402
Ph: (801) 678-8577 | Dr Chadd Dee Nelson, DO
221 3rd St W,
Randolph Air Force Base, TX 78150-4800
Ph: (210) 652-6403 |
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