Edna Chism Nicholas, - Medicare Counselor in Fort Worth, TX

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Edna Chism Nicholas, is a medicare enrolled "Social Worker - Clinical" provider in Fort Worth, Texas. She graduated from healthcare school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 3309 Winthrop Ave, 90, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 886-4872.

Edna Chism Nicholas is licensed to practice in Texas (license number 55023) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073933669.

Contact Information

Edna Chism Nicholas,
3309 Winthrop Ave, 90,
Fort Worth, TX 76116-5614
(214) 886-4872
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameEdna Chism Nicholas
GenderFemale
SpecialityClinical Social Worker
Experience21 Years
Location3309 Winthrop Ave, Fort Worth, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Edna Chism Nicholas graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1073933669
  • Provider Enumeration Date: 04/22/2014
  • Last Update Date: 06/30/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4082831391
  • Enrollment ID: I20140811001691

Medical Identifiers

Medical identifiers for Edna Chism Nicholas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073933669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 12258 (Texas)Secondary
1041C0700XSocial Worker - Clinical 55023 (Texas)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. Edna Chism Nicholas allows following entities to bill medicare on her behalf.
Entity NameAuthentic Counseling And Coaching Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891105292
PECOS PAC ID: 4688891997
Enrollment ID: O20140811001178

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. Edna Chism Nicholas 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
Edna Chism Nicholas,
8628 Paper Birch Ln,
Fort Worth, TX 76123-5058

Ph: () -		Edna Chism Nicholas,
3309 Winthrop Ave, 90,
Fort Worth, TX 76116-5614

Ph: (214) 886-4872

Reviews and Comments


Social Worker in Fort Worth, TX


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.