Dr Peter Tobias Nelson, MD, PHD - Medicare Pathology in Lexington, KY

Dr Peter Tobias Nelson, MD, PHD is a medicare enrolled "Pathology - Neuropathology" physician in Lexington, Kentucky. His current practice location is 800 Rose St # Ms 117, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 323-5425.

Dr Peter Tobias Nelson is licensed to practice in Kentucky (license number TP443) 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 1053359927.

Contact Information

Dr Peter Tobias Nelson, MD, PHD
800 Rose St # Ms 117,
Lexington, KY 40536
(859) 323-5425
Not Available

Map and Direction




Physician's Profile

Full NameDr Peter Tobias Nelson
GenderMale
SpecialityPathology - Neuropathology
Location800 Rose St # Ms 117, Lexington, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053359927
  • Provider Enumeration Date: 06/03/2006
  • Last Update Date: 06/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4880607472
  • Enrollment ID: I20060727000186

Medical Identifiers

Medical identifiers for Dr Peter Tobias Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053359927NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZN0500XPathology - Neuropathology TP443 (Kentucky)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. Dr Peter Tobias Nelson allows following entities to bill medicare on his behalf.
Entity NameKentucky Medical Services Foundation, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326091448
PECOS PAC ID: 5698689909
Enrollment ID: O20031119000300

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. Dr Peter Tobias Nelson 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
Dr Peter Tobias Nelson, MD, PHD
800 Rose St # Ms 117,
Lexington, KY 40536-0298

Ph: (859) 323-5425
Dr Peter Tobias Nelson, MD, PHD
800 Rose St # Ms 117,
Lexington, KY 40536

Ph: (859) 323-5425

Reviews and Comments


Pathology Doctors in Lexington, KY

Dr. Kirk Phillip Heitman, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 800 Rose St, Ms117, Lexington, KY 40536
Phone: 859-257-1446    
Alexander Patrick Smith,
Pathology
Medicare: Medicare Enrolled
Practice Location: 290 Big Run Rd, Lexington, KY 40503
Phone: 859-278-9513    
Dr. Amy Siegel Gewirtz, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 800 Rose St # Ms 117, Lexington, KY 40536
Phone: 859-323-5425    
Therese Jeanne Bocklage, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 800 Rose St # Ms 117, Lexington, KY 40536
Phone: 859-323-5425    
Dr. Paul Bachner, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 800 Rose Street, Lexington, KY 40536
Phone: 859-323-5425    
Dr. James L Bauer, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 290 Big Run Rd, Lexington, KY 40503
Phone: 859-278-9513    Fax: 859-277-6063

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.