Dr Jessie Marie Nelson, MD, MS is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Detroit, Michigan. Her current practice location is
2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 916-1032.
Dr Jessie Marie Nelson is licensed to practice in Michigan (license number 4351052706) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730936253.
Physician's Profile
| Full Name | Dr Jessie Marie Nelson |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2799 W Grand Blvd, Detroit, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730936253
- Provider Enumeration Date: 05/02/2024
- Last Update Date: 10/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 7719328640
- Enrollment ID: I20240509002549
Medical Identifiers
Medical identifiers for Dr Jessie Marie Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730936253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 4351052706 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 4351052706 (Michigan) | 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 Jessie Marie 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 Jessie Marie Nelson, MD, MS 2799 W Grand Blvd, Detroit, MI 48202-2689 Ph: (313) 916-1032 | Dr Jessie Marie Nelson, MD, MS 2799 W Grand Blvd, Detroit, MI 48202-2689 Ph: (313) 916-1032 |
Reviews and Comments