Marques Skot Neilson, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Flagstaff, Arizona. His current practice location is
2920 N 4th St, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 522-9400.
Marques Skot Neilson is licensed to practice in Arizona (license number R4167) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912574377.
Physician's Profile
Full Name | Marques Skot Neilson |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2920 N 4th St, Flagstaff, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912574377
- Provider Enumeration Date: 06/04/2021
- Last Update Date: 02/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133517105
- Enrollment ID: I20211025000179
Medical Identifiers
Medical identifiers for Marques Skot Neilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912574377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | OT020864 (Pennsylvania) | Secondary |
208D00000X | General Practice | 010846 (Arizona) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | R4167 (Arizona) | Primary |
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. Marques Skot Neilson 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 |
Marques Skot Neilson, DO 2920 N 4th St, Flagstaff, AZ 86004-1816 Ph: (928) 522-9400 | Marques Skot Neilson, DO 2920 N 4th St, Flagstaff, AZ 86004-1816 Ph: (928) 522-9400 |
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