| Ian Michael Nelson, MD | |
|
307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | |
| (850) 883-8600 | |
| Not Available |
| Full Name | Ian Michael Nelson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 9 Years |
| Location | 307 Boatner Rd Ste 114, Eglin Afb, Florida |
| 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 |
|---|---|---|---|
| 1932553328 | NPI | - | NPPES |
| 113673900 | Medicaid | FL | |
| PE355 | Other | FL | MEDICARE PTAN OHRI |
| PS139 | Other | FL | MEDICARE PTAN OHMG |
| EG8TR | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME135574 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orlando Health | Orlando, FL | Hospital |
| Orlando Health South Lake Hospital | Clermont, FL | Hospital |
| Steward Sebastian River Medical Center | Sebastian, FL | Hospital |
| St Cloud Regional Medical Center | Saint cloud, FL | Hospital |
| Health Central | Ocoee, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ohri Llc | 4981912169 | 101 |
| Orlando Health Medical Group Inc | 9537059084 | 1810 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Ohri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386034346 PECOS PAC ID: 4981912169 Enrollment ID: O20151008000809 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Michael Nelson, MD 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: (850) 883-8600 | Ian Michael Nelson, MD 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: (850) 883-8600 |
David Peter Barton, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8600 | |
Paul Donald Cole, MD Radiology Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8132 | |
David Mccollough Ross Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8535 | |
Brett Kellen Searcey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8600 | |
Dr. Brooke Marie Bell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8600 | |
Dr. Derek P Brady, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-8600 |