Andrea Nelson, PHD - Medicare Psychologist in Madison, WI

Andrea Nelson, PHD is a medicare enrolled "Psychologist" provider in Madison, Wisconsin. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Group Health Cooperative Of South Central Wisconsin, Psychology Clinic Inc. and her current practice location is 310 N Midvale Blvd Ste 202, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 238-9991.

Andrea Nelson is licensed to practice in Wisconsin (license number 272257) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265705842.

Contact Information

Andrea Nelson, PHD
310 N Midvale Blvd Ste 202,
Madison, WI 53705-3265
(608) 238-9991
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAndrea Nelson
GenderFemale
SpecialityClinical Psychologist
Experience21 Years
Location310 N Midvale Blvd Ste 202, Madison, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrea Nelson graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1265705842
  • Provider Enumeration Date: 02/13/2012
  • Last Update Date: 02/13/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8820252646
  • Enrollment ID: I20120607000255

Medical Identifiers

Medical identifiers for Andrea Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265705842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 272257 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Group Health Cooperative Of South Central Wisconsin3870489586179
Psychology Clinic Inc.01432167479

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. Andrea Nelson allows following entities to bill medicare on her behalf.
Entity NameGroup Health Cooperative Of South Central Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245260165
PECOS PAC ID: 3870489586
Enrollment ID: O20040227000306
Entity NamePsychology Clinic Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336222769
PECOS PAC ID: 0143216747
Enrollment ID: O20040421000182

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. Andrea 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 AddressPractice Location Address
Andrea Nelson, PHD
525 Memphis Ave,
Madison, WI 53714-1512

Ph: (608) 242-9808
Andrea Nelson, PHD
310 N Midvale Blvd Ste 202,
Madison, WI 53705-3265

Ph: (608) 238-9991

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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