David W Nichols, MD in Southlake, TX

David W Nichols, MD is a medicare enrolled "Pediatrics" physician in Southlake, Texas. His current practice location is 480 W Southlake Blvd, Ste 133, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 329-9234.

David W Nichols is licensed to practice in Texas (license number J6631) 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 1508941758.

Contact Information

	David W Nichols, MD
	480 W Southlake Blvd, Ste 133, Southlake, TX 76092-6162
	(817) 329-9234
	(817) 329-9239

Map and Direction

Physician's Profile

Full Name	David W Nichols
Gender	Male
Speciality	Pediatrics
Location	480 W Southlake Blvd, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508941758
Provider Enumeration Date: 10/26/2006
Last Update Date: 04/30/2021

Medicare PECOS Information:

PECOS PAC ID: 5395913818
Enrollment ID: I20110727000339

Medical Identifiers

Medical identifiers for David W Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508941758	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	J6631 (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. David W Nichols allows following entities to bill medicare on his behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

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. David W Nichols 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
David W Nichols, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855	David W Nichols, MD 480 W Southlake Blvd, Ste 133, Southlake, TX 76092-6162 Ph: (817) 329-9234

Reviews and Comments

Pediatrics Doctors in Southlake, TX

Dr. Atoosa Kourosh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1170 N Carroll Ave, Southlake, TX 76092 Phone: 214-702-6550 Fax: 214-894-4182
Michelle M Mckane, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6050
Dr. Arthur Eric Benzick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 731 E Southlake Blvd, 100, Southlake, TX 76092 Phone: 817-424-3366 Fax: 817-552-8540
Magda Fawzy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6026
Dr. Erica J Zwernemann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 731 E Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-912-8800 Fax: 817-912-8810
Roger S Knapp Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 480 W Southlake Blvd, Ste 133, Southlake, TX 76092 Phone: 817-329-9234 Fax: 817-329-9239
Jacqueline R Hanna, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6026

David W Nichols, MD - Medicare Pediatrics in Southlake, TX