Teresa Nielsen, PA is a medicare enrolled "Physician Assistant - Medical" in New England, North Dakota. Her current practice location is
820 2nd Ave W, New England, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 579-4348.
Teresa Nielsen is licensed to practice in North Dakota (license number 0061) 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 1629160080.
Provider's Profile
| Full Name | Teresa Nielsen |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 820 2nd Ave W, New England, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629160080
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5698789915
- Enrollment ID: I20060125000992
Medical Identifiers
Medical identifiers for Teresa Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629160080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 0061 (North Dakota) | 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. Teresa Nielsen allows following entities to bill medicare on her behalf.
| Entity Name | West River Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174606271 PECOS PAC ID: 0042127045 Enrollment ID: O20040128001023 |
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| Entity Name | West River Health Services |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1588763247 PECOS PAC ID: 0042127045 Enrollment ID: O20100909000218 |
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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. Teresa Nielsen 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 |
Teresa Nielsen, PA 1000 Highway 12, Hettinger, ND 58639-7530 Ph: (701) 567-4561 | Teresa Nielsen, PA 820 2nd Ave W, New England, ND 58647 Ph: (701) 579-4348 |
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