Dr Theodora J Nelson, MD in San Diego, CA

Dr Theodora J Nelson, MD is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in San Diego, California. Her current practice location is 7910 Frost St Ste 230, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 246-0053.

Dr Theodora J Nelson is licensed to practice in California (license number G75021) 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 1326130584.

Contact Information

	Dr Theodora J Nelson, MD
	7910 Frost St Ste 230, San Diego, CA 92123-2776
	(858) 246-0053
	(619) 496-9257

Map and Direction

Physician's Profile

Full Name	Dr Theodora J Nelson
Gender	Female
Speciality	Pediatrics - Developmental - Behavioral Pediatrics
Location	7910 Frost St Ste 230, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326130584
Provider Enumeration Date: 09/28/2006
Last Update Date: 04/17/2020

Medicare PECOS Information:

PECOS PAC ID: 8527095132
Enrollment ID: I20070427000539

Medical Identifiers

Medical identifiers for Dr Theodora J Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326130584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	G75021 (California)	Secondary
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	G75021 (California)	Primary

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 Theodora J Nelson allows following entities to bill medicare on her behalf.

Entity Name	Centro De Salud De La Comunidad De San Ysidro, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711

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 Theodora J 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 Theodora J Nelson, MD 7910 Frost St Ste 230, San Diego, CA 92123-2776 Ph: (858) 246-0053	Dr Theodora J Nelson, MD 7910 Frost St Ste 230, San Diego, CA 92123-2776 Ph: (858) 246-0053

Reviews and Comments

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Dr Theodora J Nelson, MD - Medicare Pediatrics in San Diego, CA