Stanton Nielsen Jr, DO - Medicare Surgery in Evanston, IL

Stanton Nielsen Jr, DO is a medicare enrolled "Surgery" physician in Evanston, Illinois. His current practice location is 2650 Ridge Ave Ste 1304, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (480) 338-1585.

Stanton Nielsen Jr is licensed to practice in Illinois (license number 036.163773) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700311560.

Contact Information

Stanton Nielsen Jr, DO
2650 Ridge Ave Ste 1304,
Evanston, IL 60201-1700
(480) 338-1585
Not Available



Physician's Profile

Full NameStanton Nielsen Jr
GenderMale
SpecialitySurgery
Location2650 Ridge Ave Ste 1304, Evanston, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700311560
  • Provider Enumeration Date: 04/28/2017
  • Last Update Date: 07/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951765536
  • Enrollment ID: I20230914004085

Medical Identifiers

Medical identifiers for Stanton Nielsen Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700311560NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 036.163773 (Illinois)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. Stanton Nielsen Jr 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
Stanton Nielsen Jr, DO
180 Harvester Dr Ste 110,
Burr Ridge, IL 60527-6686

Ph: () -
Stanton Nielsen Jr, DO
2650 Ridge Ave Ste 1304,
Evanston, IL 60201-1700

Ph: (480) 338-1585

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Surgery Doctors in Evanston, IL

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Phone: 847-763-0761    Fax: 847-864-0353
David P Winchester, MD
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Dr. Charles R Gruner, M.D.
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Dr. Tricia Moo-young, M.D.
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Dr. Andrea Elizabeth Geddes, MD, MS
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Practice Location: 800 Austin St Ste 563, Evanston, IL 60202
Phone: 847-869-0522    
Amna Munif Khokar, MD
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Medicare: Accepting Medicare Assignments
Practice Location: Northshore University Healthsystem, Office Of Academic, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201
Phone: 847-570-1316    

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