Dr James Leroy Nielsen, MD is a medicare enrolled "Emergency Medicine" physician in Mitchell, South Dakota. His current practice location is
525 N Foster St, Mitchell, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 995-2000.
Dr James Leroy Nielsen is licensed to practice in South Dakota (license number 2178) 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 1205806460.
Physician's Profile
| Full Name | Dr James Leroy Nielsen |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 525 N Foster St, Mitchell, South Dakota |
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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: 1205806460
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 09/01/2010
Medicare PECOS Information:
- PECOS PAC ID: 6305733510
- Enrollment ID: I20090820000362
Medical Identifiers
Medical identifiers for Dr James Leroy Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205806460 | NPI | - | NPPES |
| 1058677 | Medicaid | IA | |
| 5605224 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 2178 (South Dakota) | Primary |
| 207P00000X | Emergency Medicine | 27171 (Iowa) | Secondary |
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 James Leroy Nielsen allows following entities to bill medicare on his behalf.
| Entity Name | Avera Queen Of Peace |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205359031
PECOS PAC ID: 9335050806
Enrollment ID: O20031229000301 |
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| Entity Name | Avera Queen Of Peace |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1710155460
PECOS PAC ID: 9335050806
Enrollment ID: O20080714000163 |
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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 James Leroy Nielsen 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 James Leroy Nielsen, MD
525 N Foster St,
Mitchell, SD 57301-2966
Ph: (605) 995-2000 | Dr James Leroy Nielsen, MD
525 N Foster St,
Mitchell, SD 57301-2966
Ph: (605) 995-2000 |
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