Nels Wallace Thorderson, MD in Tupelo, MS - Medicare Orthopaedic Surgery

Nels Wallace Thorderson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Tupelo, Mississippi. His current practice location is 499 S Gloster St Ste G1, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 377-2663.

Nels Wallace Thorderson is licensed to practice in Mississippi (license number 18527) 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 1740250331.

Contact Information

	Nels Wallace Thorderson, MD
	499 S Gloster St Ste G1, Tupelo, MS 38801-5539
	(662) 377-2663
	Not Available

Map and Direction

Physician's Profile

Full Name	Nels Wallace Thorderson
Gender	Male
Speciality	Orthopaedic Surgery
Location	499 S Gloster St Ste G1, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740250331
Provider Enumeration Date: 01/25/2006
Last Update Date: 01/26/2023

Medicare PECOS Information:

PECOS PAC ID: 5890760706
Enrollment ID: I20040901001196

Medical Identifiers

Medical identifiers for Nels Wallace Thorderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740250331	NPI	-	NPPES
01573566	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XX0004X	Orthopaedic Surgery - Foot And Ankle Surgery	18527 (Mississippi)	Secondary
207X00000X	Orthopaedic Surgery	18527 (Mississippi)	Primary

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. Nels Wallace Thorderson allows following entities to bill medicare on his behalf.

Entity Name	Orthopaedic Institute Of North Mississippi, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790755320 PECOS PAC ID: 7113914078 Enrollment ID: O20040430000679

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. Nels Wallace Thorderson 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
Nels Wallace Thorderson, MD 499 S Gloster St # G1, Tupelo, MS 38801-5539 Ph: (662) 377-2663	Nels Wallace Thorderson, MD 499 S Gloster St Ste G1, Tupelo, MS 38801-5539 Ph: (662) 377-2663

Reviews and Comments

Orthopaedic Surgery Doctors in Tupelo, MS

Dr. Jeremy Caleb Adams, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 S Gloster St Ste A, Tupelo, MS 38801 Phone: 662-767-4200 Fax: 662-767-4204
Eric Van Lewis, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg Ste G1, Tupelo, MS 38801 Phone: 662-377-2663 Fax: 662-840-5856
Dr. Taylor Phillips Mathis, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 S Gloster St, Suite A, Tupelo, MS 38801 Phone: 662-767-4200 Fax: 662-767-4204
Jacob Allen Smithey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 S Gloster St Ste A, Tupelo, MS 38801 Phone: 662-767-4200 Fax: 662-767-4201
Mr. Richard D. Rainey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 South Gloster, Suite A, Tupelo, MS 38801 Phone: 662-767-4200 Fax: 662-767-4204
Jeb Williams, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 499 S Gloster St Ste G1, Tupelo, MS 38801 Phone: 662-377-2663
Dr. David Vecchione, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 S Gloster St Ste A, Tupelo, MS 38801 Phone: 662-767-4200 Fax: 662-767-4204

Nels Wallace Thorderson, MD - Medicare Orthopaedic Surgery in Tupelo, MS