Dr Nicholas Stephen Shriver, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Bryan, Texas. His current practice location is
2900 E 29th St, Bryan, Texas. You can reach out to his office (for appointments etc.) via phone at
(979) 436-0485.
Dr Nicholas Stephen Shriver is licensed to practice in * (Not Available) (license number ) 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 1669040713.
Physician's Profile
Full Name | Dr Nicholas Stephen Shriver |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2900 E 29th St, Bryan, 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: 1669040713
- Provider Enumeration Date: 06/15/2021
- Last Update Date: 05/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062813280
- Enrollment ID: I20210625001034
Medical Identifiers
Medical identifiers for Dr Nicholas Stephen Shriver such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669040713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | BP10074416 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Nicholas Stephen Shriver 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 |
Dr Nicholas Stephen Shriver, MD 2900 E 29th St, Bryan, TX 77802-2622 Ph: (979) 436-0485 | Dr Nicholas Stephen Shriver, MD 2900 E 29th St, Bryan, TX 77802-2622 Ph: (979) 436-0485 |
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