Kelly Raphael Nelson, MD - Medicare Family Practice in Bridgeport, WV

Kelly Raphael Nelson, MD is a medicare enrolled "Family Medicine" physician in Bridgeport, West Virginia. He went to University Of Alabama School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice United Physicians Care Inc and his current practice location is 120 Medical Park Dr, Suite 300, Bridgeport, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 624-7200.

Kelly Raphael Nelson is licensed to practice in West Virginia (license number 15120) 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 1760435838.

Contact Information

Kelly Raphael Nelson, MD
120 Medical Park Dr, Suite 300,
Bridgeport, WV 26330-9012
(304) 624-7200
Not Available



Physician's Profile

Full NameKelly Raphael Nelson
GenderMale
SpecialityFamily Practice
Experience38 Years
Location120 Medical Park Dr, Bridgeport, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Raphael Nelson attended and graduated from University Of Alabama School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1760435838
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 01/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6305870791
  • Enrollment ID: I20091029000269

Medical Identifiers

Medical identifiers for Kelly Raphael Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760435838NPI-NPPES
0041162000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 15120 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wvu Medicine Home Health United Hospital CenterClarksburg, WVHome health agency
Care Partners Home HealthMorgantown, WVHome health agency
Amedisys Hospice CareMorgantown, WVHospice
United Hospital CenterBridgeport, WVHospital
West Virginia University HospitalsMorgantown, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
United Physicians Care Inc6103814017103

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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. Kelly Raphael Nelson allows following entities to bill medicare on his behalf.
Entity NameUnited Hospital Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760965586
PECOS PAC ID: 8123936010
Enrollment ID: O20031212000802

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Entity NameUnited Physicians Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891863874
PECOS PAC ID: 6103814017
Enrollment ID: O20040706001382

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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. Kelly Raphael 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
Kelly Raphael Nelson, MD
120 Medical Park Dr, Ste 300,
Bridgeport, WV 26330-9012

Ph: (304) 624-7200
Kelly Raphael Nelson, MD
120 Medical Park Dr, Suite 300,
Bridgeport, WV 26330-9012

Ph: (304) 624-7200

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› Verified 5 days ago


Family Medicine Doctors in Bridgeport, WV

Dr. Mollie Mccartney Cecil, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 527 Medical Park Dr Ste 102, Bridgeport, WV 26330
Phone: 681-342-7570    Fax: 681-342-7571
Lauren J Tomes, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1511 Johnson Ave, Ste 104, Bridgeport, WV 26330
Phone: 304-848-0702    Fax: 304-848-0705
Frances Blake Murray, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330
Phone: 304-624-7200    
Susan Leah Garner, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 916 W Main St, Bridgeport, WV 26330
Phone: 304-842-1034    Fax: 304-842-1037
Josalyn Marie Mann, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1511 Johnson Ave, Ste 104, Bridgeport, WV 26330
Phone: 304-848-0702    Fax: 304-848-0705
James E Malone, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330
Phone: 304-624-7200    
Victorico A Singzon, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 527 Medical Park Dr Ste 500, Bridgeport, WV 26330
Phone: 681-342-3660    Fax: 681-342-3625

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