Sandra K Nelson, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Cody, Wyoming. Her current practice location is
424 Yellowstone Ave., Ste 220, Cody, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 578-2500.
Sandra K Nelson is licensed to practice in Wyoming (license number 9486A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710071071.
Physician's Profile
| Full Name | Sandra K Nelson |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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| Location | 424 Yellowstone Ave., Cody, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710071071
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 10/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799878070
- Enrollment ID: I20131206001713
Medical Identifiers
Medical identifiers for Sandra K Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710071071 | NPI | - | NPPES |
| 34916000 | Medicaid | WI | |
| IP805843700 | Medicaid | ID | |
| 000010029939 | Other | | BLUE CROSS BLUE SHIELD |
| 35564 | Other | MT | MONTANA MEDICAID |
| 39859 | Other | ID | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 50611 (Wisconsin) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 9486A (Wyoming) | 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. Sandra K Nelson allows following entities to bill medicare on her behalf.
| Entity Name | West Park Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558351536
PECOS PAC ID: 7315855624
Enrollment ID: O20040127000865 |
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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. Sandra K 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 Address | Practice Location Address |
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Sandra K Nelson, MD
707 Sheridan Ave,
Cody, WY 82414
Ph: (307) 578-2500 | Sandra K Nelson, MD
424 Yellowstone Ave., Ste 220,
Cody, WY 82414
Ph: (307) 578-2500 |
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