| Hunter B Nelson Jr, MD | |
|
1970 Hospital Drive, Clarksdale, MS 38614-7202 | |
| (251) 544-1926 | |
| (251) 460-2846 |
| Full Name | Hunter B Nelson Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 1970 Hospital Drive, Clarksdale, Mississippi |
| 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 |
|---|---|---|---|
| 1134160039 | NPI | - | NPPES |
| 051531624 | Medicaid | AL | |
| 009936217 | Medicaid | AL | |
| 51531624 | Other | AL | BC/BS OF AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 023445 (Louisiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 21200 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rush Foundation Hospital | Meridian, MS | Hospital |
| Northwest Mississippi Medical Center | Clarksdale, MS | Hospital |
| Laird Hospital Inc | Union, MS | Hospital |
| Choctaw General Hospital | Butler, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mississippi Hma Hospitalists Llc | 5991972077 | 56 |
| Medical Foundation Inc | 9234043712 | 201 |
| Rush Hospital/butler, Inc | 0244498368 | 16 |
| The Fort Defiance Indian Hospital Board, Incorporation | 0941336697 | 150 |
| Entity Name | Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
| Entity Name | Hunter B Nelson Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942539242 PECOS PAC ID: 7719022383 Enrollment ID: O20100308000088 |
| Entity Name | Mississippi Hma Hospitalists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154608883 PECOS PAC ID: 5991972077 Enrollment ID: O20120112000182 |
| Entity Name | Gci Radiology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407364482 PECOS PAC ID: 4284997107 Enrollment ID: O20180406000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Hunter B Nelson Jr, MD Po Box 95460, Cleveland, OH 44101-0033 Ph: (602) 581-6076 | Hunter B Nelson Jr, MD 1970 Hospital Drive, Clarksdale, MS 38614-7202 Ph: (251) 544-1926 |