Marianne Nelson, MD - Medicare Family Medicine in Brook, IN

Marianne Nelson, MD is a medicare enrolled "Family Medicine" physician in Brook, Indiana. Her current practice location is 420 E Main St, Brook, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 275-2521.

Marianne Nelson is licensed to practice in Indiana (license number 01033812) 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 1619969961.

Contact Information

Marianne Nelson, MD
420 E Main St,
Brook, IN 47922-8715
(219) 275-2521
(219) 275-9342



Physician's Profile

Full NameMarianne Nelson
GenderFemale
SpecialityFamily Medicine
Location420 E Main St, Brook, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619969961
  • Provider Enumeration Date: 08/22/2005
  • Last Update Date: 12/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1557545589
  • Enrollment ID: I20110414000955

Medical Identifiers

Medical identifiers for Marianne Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619969961NPI-NPPES
000001130557OtherANTHEM
100143000MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01033812 (Indiana)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. Marianne Nelson allows following entities to bill medicare on her behalf.
Entity NameLafayette Emergency Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861447211
PECOS PAC ID: 9830189240
Enrollment ID: O20040517001198

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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. Marianne 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
Marianne Nelson, MD
Po Box 771923,
Detroit, MI 48278-1923

Ph: (317) 528-8000
Marianne Nelson, MD
420 E Main St,
Brook, IN 47922-8715

Ph: (219) 275-2521

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Family Medicine Doctors in Brook, IN


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