Dr Robert C Nelson, PSYD is a medicare enrolled "Psychologist - Clinical" physician in Wilmington, North Carolina. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Charleston Counseling Center Pc and his current practice location is
5617 Maxwell Pl, Wilmington, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 742-9243.
Dr Robert C Nelson is licensed to practice in South Carolina (license number 1210) 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 1730274713.
Physician's Profile
| Full Name | Dr Robert C Nelson |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 24 Years |
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| Location | 5617 Maxwell Pl, Wilmington, North Carolina |
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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:
- Dr Robert C Nelson graduated from medical school in 2000
NPI Data:
- NPI Number: 1730274713
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 09/22/2013
Medicare PECOS Information:
- PECOS PAC ID: 7618123944
- Enrollment ID: I20120801000966
Medical Identifiers
Medical identifiers for Dr Robert C Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730274713 | NPI | - | NPPES |
| PS0511 | Medicaid | SC | |
| 301100 | Medicaid | SC | |
| P01126706 | Other | SC | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | RPS2002005 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1210 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Charleston Counseling Center Pc | 6204125107 | 56 |
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 Robert C Nelson allows following entities to bill medicare on his behalf.
| Entity Name | Charleston Counseling Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316375678
PECOS PAC ID: 6204125107
Enrollment ID: O20160517000323 |
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| Entity Name | Che Behavioral Health Services Of South Carolina Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568048833
PECOS PAC ID: 1759780380
Enrollment ID: O20210601001981 |
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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 Robert C 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 |
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Dr Robert C Nelson, PSYD
Po Box 16310,
Wilmington, NC 28408-6310
Ph: (910) 742-9243 | Dr Robert C Nelson, PSYD
5617 Maxwell Pl,
Wilmington, NC 28409-2966
Ph: (910) 742-9243 |
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