Dr Averly H Nelson, MD - Psychiatry & Neurology in Medical Lake, WA

Dr Averly H Nelson, MD is a Psychiatry & Neurology - Psychiatry physician based in Medical Lake, Washington. Dr Averly H Nelson is licensed to practice in Washington (license number MD00012481) and his current practice location is 850 Maple Street, Eastern State Hospital, Medical Lake, Washington. He can be reached at his office (for appointments etc.) via phone at (509) 565-4000.

NPI number for Dr Averly H Nelson is 1144202011 and his current mailing address is Po Box 800, Eastern State Hospital, Medical Lake, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144202011.

Contact Information

Dr Averly H Nelson, MD
850 Maple Street, Eastern State Hospital,
Medical Lake, WA 99022-0800
(509) 565-4000
(509) 565-4705



Physician's Profile

Full NameDr Averly H Nelson
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location850 Maple Street, Medical Lake, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144202011
  • Provider Enumeration Date: 11/16/2005
  • Last Update Date: 11/02/2016

Medical Identifiers

Medical identifiers for Dr Averly H Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144202011NPI-NPPES
1059013MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MD00012481 (Washington)Primary

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 Averly H Nelson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Averly H Nelson, MD
Po Box 800, Eastern State Hospital,
Medical Lake, WA 99022-0800

Ph: (509) 565-4000
Dr Averly H Nelson, MD
850 Maple Street, Eastern State Hospital,
Medical Lake, WA 99022-0800

Ph: (509) 565-4000

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› Verified 5 days ago


Psychiatry & Neurology Doctors in Medical Lake, WA

Laura J. Baehner, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 850 Maple Street, Medical Lake, WA 99022
Phone: 509-565-4000    Fax: 509-565-4705
Dr. Samaya Cassandra Lovegood, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 850 Maple Street, Medical Lake, WA 99022
Phone: 509-565-4000    Fax: 509-565-4705
Dr. Evangeline V Dacanay, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 800 West Maple Street, Medical Lake, WA 99022
Phone: 509-299-3121    Fax: 509-299-7015
Dr. Muneeb Malik, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 850 W Maple St, Medical Lake, WA 99022
Phone: 509-565-4000    
Dr. Lesley M. Blake, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 850 Maple Street, Medical Lake, WA 99022
Phone: 509-299-3121    Fax: 509-299-7015
Marion Fossum, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1717 S Ritchey Rd, Medical Lake, WA 99022
Phone: 509-590-8766    

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