| David D Nelsen, MD | |
|
3524 E Milwaukee St, Janesville, WI 53546-1626 | |
| (608) 756-7217 | |
| (608) 756-4700 |
| Full Name | David D Nelsen |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 16 Years |
| Location | 3524 E Milwaukee St, Janesville, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417184169 | NPI | - | NPPES |
| K400372132-000054176 | Other | WI | WI MEDICARE |
| NELSEDAV | Other | WI | MERCYCARE INSURANCE |
| 1417184169 | Other | WI | BCBSWI |
| 1417184169 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 54912-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health System Corp | Janesville, WI | Hospital |
| Javon Bea Hospital | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health System Corporation | 7416860440 | 564 |
| Rockford Health Physicians | 2567374036 | 362 |
| Mercy Health System Corporation | 7416860440 | 564 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| David D Nelsen, MD 3524 E Milwaukee St, Janesville, WI 53546-1626 Ph: (608) 756-7217 | David D Nelsen, MD 3524 E Milwaukee St, Janesville, WI 53546-1626 Ph: (608) 756-7217 |
Dr. Lauren Nibler Craddock, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8922 | |
Bruce R Pearson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 580 N Washington St, Dean Medical Center, Janesville, WI 53548 Phone: 608-755-3500 Fax: 608-755-3500 | |
Kristi E Knuijt, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8922 |