Robert Nielson, in Roosevelt, UT - Medicare Nurse Practitioner

Robert Nielson, is a medicare enrolled "Nurse Practitioner - Family" in Roosevelt, Utah. His current practice location is 250 W 300 N, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 722-4691.

Robert Nielson is licensed to practice in Utah (license number 9829616-4405) 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 1194413633.

Contact Information

	Robert Nielson,
	250 W 300 N, Roosevelt, UT 84066-2336
	(435) 722-4691
	Not Available

Map and Direction

Provider's Profile

Full Name	Robert Nielson
Gender	Male
Speciality	Nurse Practitioner - Family
Location	250 W 300 N, Roosevelt, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194413633
Provider Enumeration Date: 04/24/2023
Last Update Date: 04/24/2023

Medicare PECOS Information:

PECOS PAC ID: 0345608402
Enrollment ID: I20230621002891

Medical Identifiers

Medical identifiers for Robert Nielson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194413633	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9829616-4405 (Utah)	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. Robert Nielson allows following entities to bill medicare on his behalf.

Entity Name	Uintah Basin Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871556217 PECOS PAC ID: 0244131944 Enrollment ID: O20040226000948

Entity Name	Northeastern Utah Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982664199 PECOS PAC ID: 2961496609 Enrollment ID: O20040414000471

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. Robert Nielson 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
Robert Nielson, 1259 Spruce Dr, Roosevelt, UT 84066-3800 Ph: () -	Robert Nielson, 250 W 300 N, Roosevelt, UT 84066-2336 Ph: (435) 722-4691

Reviews and Comments

Nurse Practitioner Nurses in Roosevelt, UT

Lori A Teem, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N 75-3, Roosevelt, UT 84066 Phone: 435-722-3971 Fax: 435-722-6104
Tanya Sarah Boren, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691
Carol F Rasmussen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291
Lindsey Ellingford, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 N Main St, Roosevelt, UT 84066 Phone: 435-823-1371
Mr. Samuel Mark Bertoch, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2750 North 2762 West, Roosevelt, UT 84066 Phone: 435-722-9250
Audrie Christine Wisell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691

Robert Nielson, - Medicare Nurse Practitioner in Roosevelt, UT