Nathaniel M Phelan, MD is a medicare enrolled "Dermatology" physician in Joplin, Missouri. He went to University Of Arkansas College Of Medicine and graduated in 2011 and has 15 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Phelan Dermatology And Aesthetics and his current practice location is
520 E 32nd St, Joplin, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 622-0293.
Nathaniel M Phelan is licensed to practice in Missouri (license number 2018014111) 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 1225327422.
Physician's Profile
| Full Name | Nathaniel M Phelan |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 15 Years |
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| Location | 520 E 32nd St, Joplin, Missouri |
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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. |
Medical Education and Training:
- Nathaniel M Phelan attended and graduated from University Of Arkansas College Of Medicine in 2011
NPI Data:
- NPI Number: 1225327422
- Provider Enumeration Date: 03/29/2011
- Last Update Date: 12/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769799535
- Enrollment ID: I20200911001609
Medical Identifiers
Medical identifiers for Nathaniel M Phelan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225327422 | NPI | - | NPPES |
| 2018014111 | Other | MO | DERMATOLOGY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 2018014111 (Missouri) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 2018014111 (Missouri) | Secondary |
| 207N00000X | Dermatology | 2018014111 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Phelan Dermatology And Aesthetics | 9234538331 | 2 |
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. Nathaniel M Phelan allows following entities to bill medicare on his behalf.
| Entity Name | Phelan Dermatology & Aesthetics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942881677 PECOS PAC ID: 9234538331 Enrollment ID: O20210521001480 |
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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. Nathaniel M Phelan 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 |
Nathaniel M Phelan, MD 520 E 32nd St, Joplin, MO 64804-3904 Ph: (417) 622-0293 | Nathaniel M Phelan, MD 520 E 32nd St, Joplin, MO 64804-3904 Ph: (417) 622-0293 |
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