Dagmar Monique Declet, is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Houston, Texas. Her current practice location is
6400 Fannin St Ste 2350, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(713) 486-6740.
Dagmar Monique Declet is licensed to practice in Texas (license number 1010474) 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 1417532201.
Physician's Profile
Full Name | Dagmar Monique Declet |
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Gender | Female |
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Speciality | Nurse Practitioner - Acute Care |
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Location | 6400 Fannin St Ste 2350, Houston, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417532201
- Provider Enumeration Date: 03/12/2021
- Last Update Date: 04/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 1557770807
- Enrollment ID: I20210517002565
Medical Identifiers
Medical identifiers for Dagmar Monique Declet such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417532201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0202X | Pediatrics - Pediatric Cardiology | 1010474 (Texas) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 1010474 (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. Dagmar Monique Declet allows following entities to bill medicare on her behalf.
Entity Name | Ut Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268 |
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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. Dagmar Monique Declet 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 Address | Practice Location Address |
Dagmar Monique Declet, 6400 Fannin St Ste 2350, Houston, TX 77030-1554 Ph: (713) 486-6740 | Dagmar Monique Declet, 6400 Fannin St Ste 2350, Houston, TX 77030-1554 Ph: (713) 486-6740 |
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