Dr Gary John Nielan, in Wilbraham, MA

Dr Gary John Nielan, is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Wilbraham, Massachusetts. His current practice location is 2207 Boston Rd, Wilbraham, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 599-1201.

Dr Gary John Nielan is licensed to practice in Massachusetts (license number 155058) 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 1568458479.

Contact Information

	Dr Gary John Nielan,
	2207 Boston Rd, Wilbraham, MA 01095-1155
	(413) 599-1201
	(413) 596-2940

Map and Direction

Physician's Profile

Full Name	Dr Gary John Nielan
Gender	Male
Speciality	Pediatrics - Adolescent Medicine
Location	2207 Boston Rd, Wilbraham, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568458479
Provider Enumeration Date: 09/26/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6406038454
Enrollment ID: I20160629001821

Medical Identifiers

Medical identifiers for Dr Gary John Nielan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568458479	NPI	-	NPPES
2017078	Other		AETNA/USHC
155058	Other		MA LICENSE
23378	Other		HEALTH NEW ENGLAND
28036	Other		CHILDRENS MEDICAL SECURIT
353451	Other		HEALTHSOURCE MA NH
J18133	Other		BCBS
102170	Other		CIGNA
1550588404	Other		CONNECTICARE
3182916	Medicaid	MA
1204585	Other		UNITED HEALTHCARE
155058	Other		TUFTS
975887	Other		NETWORK HEALTH
010155058MA01	Other		ANTHEM BCBS
201928	Other		HARVARD PILGRIM
000000008141	Other		BOSTON MED CENTER HEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	155058 (Massachusetts)	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. Dr Gary John Nielan 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 Gary John Nielan, 2207 Boston Rd, Wilbraham, MA 01095-1155 Ph: (413) 599-1201	Dr Gary John Nielan, 2207 Boston Rd, Wilbraham, MA 01095-1155 Ph: (413) 599-1201

Reviews and Comments

Pediatrics Doctors in Wilbraham, MA

Kimberly Anne Dewey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2207 Boston Rd, Wilbraham, MA 01095 Phone: 413-599-1201 Fax: 413-596-2940
Dr. Thirza C Lareau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2207 Boston Rd, Wilbraham, MA 01095 Phone: 413-599-1201 Fax: 413-596-2940
George Frank Vitek, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2207 Boston Rd, Wilbraham, MA 01095 Phone: 413-599-1201 Fax: 413-596-2940
Mr. Jonathan A. Rosenstein, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2207 Boston Road, Wilbraham, MA 01095 Phone: 413-599-1201 Fax: 413-596-2940
Dr. Priya Sharma Malik, M.D., M.P.H Pediatrics Medicare: Medicare Enrolled Practice Location: 2207 Boston Rd, Wilbraham, MA 01095 Phone: 413-599-1201
Dr. Kimberly Joyal Martins, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2207 Boston Rd, Wilbraham, MA 01095 Phone: 413-599-1201 Fax: 413-596-2940

Dr Gary John Nielan, - Medicare Pediatrics in Wilbraham, MA