Dr Mark Dale Nellermoe, DPM in University Place, WA

Dr Mark Dale Nellermoe, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in University Place, Washington. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Fasa Family Wellness Pllc and his current practice location is 3929 Bridgeport Way W Ste 308, University Place, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 627-4181.

Dr Mark Dale Nellermoe is licensed to practice in Washington (license number PO00000507) 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 1386733541.

Contact Information

	Dr Mark Dale Nellermoe, DPM
	3929 Bridgeport Way W Ste 308, University Place, WA 98466-4455
	(253) 627-4181
	(253) 272-5922

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mark Dale Nellermoe
Gender	Male
Speciality	Podiatry
Experience	43 Years
Location	3929 Bridgeport Way W Ste 308, University Place, Washington
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:

Dr Mark Dale Nellermoe graduated from medical school in 1981

NPI Data:

NPI Number: 1386733541
Provider Enumeration Date: 10/12/2006
Last Update Date: 07/11/2011

Medicare PECOS Information:

PECOS PAC ID: 3971795287
Enrollment ID: I20101005000882

Medical Identifiers

Medical identifiers for Dr Mark Dale Nellermoe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386733541	NPI	-	NPPES
GAB02027	Other	WA	MEDICARE ID
1102375	Medicaid	WA
990007694	Other	WA	RAILROAD MEDICARE ID
0039635	Other	WA	DEPARTMENT OF LABOR & IND
1386733541	Other	WA	NPI #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	PO00000507 (Washington)	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. Dr Mark Dale Nellermoe allows following entities to bill medicare on his behalf.

Provider Name	Mark D Nellermoe Professional Service Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1194145094 PECOS PAC ID: 9436377504 Enrollment ID: O20140903000307

Provider Name	Fasa Family Wellness Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790181899 PECOS PAC ID: 7618290297 Enrollment ID: O20150107000888

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. Dr Mark Dale Nellermoe 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
Dr Mark Dale Nellermoe, DPM 3929 Bridgeport Way W Ste 308, University Place, WA 98466-4455 Ph: (253) 627-4181	Dr Mark Dale Nellermoe, DPM 3929 Bridgeport Way W Ste 308, University Place, WA 98466-4455 Ph: (253) 627-4181

Reviews and Comments

Podiatrist in University Place, WA

Mark D Nellermoe Professional Service Corporation Podiatrist Medicare: Medicare Enrolled Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-627-4181 Fax: 253-272-5922
Dr. Cynthia A Fenberg, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5225 Cirque Dr W, Suite 100, University Place, WA 98467 Phone: 253-474-4353 Fax: 253-474-5850
Cynthia A Fenberg Podiatrist Medicare: Medicare Enrolled Practice Location: 5225 Cirque Dr W, Ste 100, University Place, WA 98467 Phone: 253-474-4353 Fax: 253-474-5850
Caleb Paul Thomas, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-272-2999 Fax: 253-272-4699
Dr. Thomas Matthew Burghardt, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-272-2999 Fax: 253-272-4699

Dr Mark Dale Nellermoe, DPM - Medicare Podiatrist in University Place, WA