| Nelson Neurology, P.c. | |
|
1415 N Sanborn Blvd Mitchell SD 57301-1015 | |
| (605) 990-2178 | |
| (605) 990-2179 |
| Full Name | Nelson Neurology, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1415 N Sanborn Blvd, Mitchell, South Dakota |
| Authorized Official Name and Position | Carol Beth Nelson (PRESIDENT) |
| Authorized Official Contact | 6059416363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nelson Neurology, P.c. Po Box 95 Lester IA 51242-0095 Ph: (712) 266-5458 | Nelson Neurology, P.c. 1415 N Sanborn Blvd Mitchell SD 57301-1015 Ph: (605) 990-2178 |
| NPI Number | 1710629241 |
|---|---|
| Provider Enumeration Date | 04/13/2022 |
| Last Update Date | 02/09/2024 |
| Certification Date | 07/12/2023 |
| Medicare PECOS PAC ID | 9133508294 |
|---|---|
| Medicare Enrollment ID | O20220620001600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710629241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Carol B Nelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003823410 PECOS PAC ID: 4183782527 Enrollment ID: I20100623000940 |
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