Mark Andrew Nielsen, MD is a medicare enrolled "Urology" physician in Jacksonville Beach, Florida. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 1980 and has 45 years of diverse experience with area of expertise as Urology. He is a member of the group practice Dlp Conemaugh Physician Practices Llc, Kettering Independent Medical Group Inc and his current practice location is
917 1st St N Apt 1202, Jacksonville Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(936) 544-4498.
Mark Andrew Nielsen is licensed to practice in Florida (license number ME161324) 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 1790873164.
Physician's Profile
| Full Name | Mark Andrew Nielsen |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 45 Years |
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| Location | 917 1st St N Apt 1202, Jacksonville Beach, Florida |
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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:
- Mark Andrew Nielsen attended and graduated from University Of Texas Southwestern Medical School At Dallas in 1980
NPI Data:
- NPI Number: 1790873164
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 12/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517988900
- Enrollment ID: I20200929000044
Medical Identifiers
Medical identifiers for Mark Andrew Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790873164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 35.152092 (Ohio) | Secondary |
| 208800000X | Urology | ME161324 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dlp Conemaugh Physician Practices Llc | 7315166949 | 256 |
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
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. Mark Andrew Nielsen allows following entities to bill medicare on his behalf.
| Entity Name | Wellspan Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669770004
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815 |
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| Entity Name | Dlp Conemaugh Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932515905
PECOS PAC ID: 7315166949
Enrollment ID: O20140915002522 |
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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. Mark Andrew Nielsen 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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Mark Andrew Nielsen, MD
917 1st St N Apt 1202,
Jacksonville Beach, FL 32250-9109
Ph: (936) 544-4498 | Mark Andrew Nielsen, MD
917 1st St N Apt 1202,
Jacksonville Beach, FL 32250-9109
Ph: (936) 544-4498 |
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