Edmond Collin Nelson Jr, MD is a medicare enrolled "Hospitalist" physician in Sullivan, Missouri. His current practice location is
751 Sappington Bridge Rd, Sullivan, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 468-4186.
Edmond Collin Nelson Jr is licensed to practice in Missouri (license number 2017027303) 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 1912285446.
Physician's Profile
| Full Name | Edmond Collin Nelson Jr |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 751 Sappington Bridge Rd, Sullivan, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Edmond Collin Nelson Jr attended and graduated from in
NPI Data:
- NPI Number: 1912285446
- Provider Enumeration Date: 08/02/2011
- Last Update Date: 06/17/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Edmond Collin Nelson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912285446 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 23146 (Mississippi) | Secondary |
| 207R00000X | Internal Medicine | MD.32419 (Alabama) | Secondary |
| 207R00000X | Internal Medicine | WV-SE-1846 (West Virginia) | Secondary |
| 207R00000X | Internal Medicine | 65734 (Arizona) | Secondary |
| 207R00000X | Internal Medicine | 321099 (Louisiana) | Secondary |
| 208M00000X | Hospitalist | 79603 (Georgia) | Secondary |
| 208M00000X | Hospitalist | 321099 (Louisiana) | Secondary |
| 208M00000X | Hospitalist | 65734 (Arizona) | Secondary |
| 208M00000X | Hospitalist | 2017027303 (Missouri) | Primary |
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. Edmond Collin Nelson Jr 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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Edmond Collin Nelson Jr, MD
660 Mason Ridge Center Dr Ste 300,
Saint Louis, MO 63141-8512
Ph: (314) 448-3791 | Edmond Collin Nelson Jr, MD
751 Sappington Bridge Rd,
Sullivan, MO 63080-2354
Ph: (573) 468-4186 |
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