Thomas Nelson, MD is a medicare enrolled "Family Medicine" physician in Rutherford, Tennessee. He went to University Of Cincinnati College Of Medicine and graduated in 1979 and has 46 years of diverse experience with area of expertise as Family Practice. His current practice location is
104 E Main St, Rutherford, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 665-7741.
Thomas Nelson is licensed to practice in Tennessee (license number 29728) 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 1417901794.
Physician's Profile
| Full Name | Thomas Nelson |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 46 Years |
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| Location | 104 E Main St, Rutherford, Tennessee |
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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:
- Thomas Nelson attended and graduated from University Of Cincinnati College Of Medicine in 1979
NPI Data:
- NPI Number: 1417901794
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 07/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759360910
- Enrollment ID: I20040720000558
Medical Identifiers
Medical identifiers for Thomas Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417901794 | NPI | - | NPPES |
| 4088427 | Other | TN | BCBS PROVIDER NUMBER |
| 8081169 | Other | TN | CIGNA HEALTHCARE PROVIDER |
| 157873 | Other | TN | UNISON PROVIDER NUMBER |
| 32094 | Other | TN | TLC PROVIDER NUMBER |
| 3898024 | Medicaid | TN | |
| 7725301 | Other | TN | AETNA PROVIDER NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 29728 (Tennessee) | Primary |
Medical Facilities Affiliation
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. Thomas Nelson allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Medical Care Facilities Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538345855 PECOS PAC ID: 6103837877 Enrollment ID: O20060509000565 |
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| Entity Name | Thomas H Nelson Md |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104992544 PECOS PAC ID: 3870594906 Enrollment ID: O20070116000466 |
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| Entity Name | Concord Medical Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20151006000818 |
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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. Thomas 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 |
Thomas Nelson, MD 17 Quail Rdg, Trenton, TN 38382-4000 Ph: (731) 855-4283 | Thomas Nelson, MD 104 E Main St, Rutherford, TN 38369-9711 Ph: (731) 665-7741 |
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