Paul D Nelsen, MD - Medicare Family Medicine in Appleton, WI

Paul D Nelsen, MD is a medicare enrolled "Family Medicine" physician in Appleton, Wisconsin. His current practice location is 2600 S Heritage Woods Dr, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 225-7875.

Paul D Nelsen is licensed to practice in Wisconsin (license number 20430-020) 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 1699767301.

Contact Information

Paul D Nelsen, MD
2600 S Heritage Woods Dr,
Appleton, WI 54915-1408
(920) 225-7875
Not Available

Map and Direction




Physician's Profile

Full NamePaul D Nelsen
GenderMale
SpecialityFamily Medicine
Location2600 S Heritage Woods Dr, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699767301
  • Provider Enumeration Date: 08/18/2005
  • Last Update Date: 09/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284626961
  • Enrollment ID: I20040401000997

Medical Identifiers

Medical identifiers for Paul D Nelsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699767301NPI-NPPES
30359200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20430-020 (Wisconsin)Primary
208600000XSurgery 20430-020 (Wisconsin)Secondary

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. Paul D Nelsen allows following entities to bill medicare on his behalf.
Entity NameThedacare Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088

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. Paul D Nelsen 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 AddressPractice Location Address
Paul D Nelsen, MD
3 Neenah Ctr,
Neenah, WI 54956-3070

Ph: (920) 748-7000
Paul D Nelsen, MD
2600 S Heritage Woods Dr,
Appleton, WI 54915-1408

Ph: (920) 225-7875

Reviews and Comments


Family Medicine Doctors in Appleton, WI

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.