Michael K Neilson, DO - Medicare Sports Medicine in Provo, UT

Michael K Neilson, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Provo, Utah. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Direct Orthopedic Care Llc and his current practice location is 475 W 940 N, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 357-7871.

Michael K Neilson is licensed to practice in Utah (license number 11680858-1204) 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 1306378823.

Contact Information

Michael K Neilson, DO
475 W 940 N,
Provo, UT 84604-3301
(801) 357-7871
Not Available



Physician's Profile

Full NameMichael K Neilson
GenderMale
SpecialitySports Medicine
Experience7 Years
Location475 W 940 N, Provo, Utah
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:
  • Michael K Neilson graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1306378823
  • Provider Enumeration Date: 04/03/2017
  • Last Update Date: 07/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1355612946
  • Enrollment ID: I20210723002728

Medical Identifiers

Medical identifiers for Michael K Neilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306378823NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 11680858-1204 (Utah)Secondary
207QS0010XFamily Medicine - Sports Medicine 11680858-1204 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Treasure Valley HospitalBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Direct Orthopedic Care Llc216364815528

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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. Michael K Neilson allows following entities to bill medicare on his behalf.
Entity NameDirect Orthopedic Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356769434
PECOS PAC ID: 2163648155
Enrollment ID: O20140729000161

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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. Michael K Neilson 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
Michael K Neilson, DO
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 357-7871
Michael K Neilson, DO
475 W 940 N,
Provo, UT 84604-3301

Ph: (801) 357-7871

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Family Medicine Doctors in Provo, UT

Dr. Robert Joel Bush, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 750 N Freedom Blvd Ste 300, Provo, UT 84601
Phone: 801-852-1443    
Janee Namealoha Sells, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3200 N Canyon Rd Ste C, Provo, UT 84604
Phone: 385-375-8724    
Dr. Marlin L Christianson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 475 West 940 North, Provo, UT 84604
Phone: 801-357-7930    Fax: 801-357-7014
Tyson Schwab,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 395 W Bulldog Blvd Ste 205, Provo, UT 84604
Phone: 801-357-1770    
Mr. Gregory Lawrence Nielsen, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1750 N Wymount Terrace Dr, Provo, UT 84604
Phone: 801-422-2771    Fax: 801-422-0761
Mr. Tyler Jason Fieldsted, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 475 W 940 N, Provo, UT 84604
Phone: 801-357-7926    Fax: 801-357-7927
Dr. Matthew Craig Evans, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1157 N 300 W, #201, Provo, UT 84604
Phone: 801-581-2000    

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