| Dr Matthew Nelson, DO | |
|
Us 191 & Az 264, Ganado, AZ 86505 | |
| (928) 755-4632 | |
| (928) 755-4831 |
| Full Name | Dr Matthew Nelson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | Us 191 & Az 264, Ganado, Arizona |
| 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 |
|---|---|---|---|
| 1740669514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DR0057309 (Colorado) | Secondary |
| 207Q00000X | Family Medicine | 12227416-1204 (Utah) | Secondary |
| 207Q00000X | Family Medicine | 008047 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sage Memorial Hospital | Ganado, AZ | Hospital |
| Tuba City Regional Health Care Corporation | Tuba city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Navajo Health Foundation-sage Memorial Hospital, Inc. | 2163332347 | 56 |
| Tuba City Regional Health Care Corporation | 4284542531 | 151 |
| Entity Name | Tuba City Regional Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Nelson, DO Po Box 1625, Page, AZ 86040-1625 Ph: (928) 645-9675 | Dr Matthew Nelson, DO Us 191 & Az 264, Ganado, AZ 86505 Ph: (928) 755-4632 |
Ellen Ouellette, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Cedar Hills Road & Az 264, Ganado, AZ 86505 Phone: 928-755-4500 Fax: 928-755-4659 | |
Dr. Takur George Buck, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Po Box 457, Ganado, AZ 86505 Phone: 928-755-4500 |