Mrs Andrea Nicole Todd, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Lake Jackson, Texas. Her current practice location is
210 Lake Rd Ste 600, Lake Jackson, Texas. You can reach out to her office (for appointments etc.) via phone at
(979) 297-7337.
Mrs Andrea Nicole Todd is licensed to practice in Texas (license number AP145116) 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 1346873437.
Physician's Profile
| Full Name | Mrs Andrea Nicole Todd |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 210 Lake Rd Ste 600, Lake Jackson, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346873437
- Provider Enumeration Date: 02/17/2020
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547671976
- Enrollment ID: I20201116001884
Medical Identifiers
Medical identifiers for Mrs Andrea Nicole Todd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346873437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | AP145116 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | AP145116 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP145116 (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. Mrs Andrea Nicole Todd allows following entities to bill medicare on her behalf.
| Entity Name | Medical Leaders And Associates, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255567772
PECOS PAC ID: 2365594983
Enrollment ID: O20090713000469 |
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| Entity Name | Primary Care Of Van Vleck, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467190421
PECOS PAC ID: 3173909991
Enrollment ID: O20221003001111 |
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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. Mrs Andrea Nicole Todd 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 |
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Mrs Andrea Nicole Todd, FNP-C
210 Lake Rd Ste 600,
Lake Jackson, TX 77566-4982
Ph: (979) 297-7337 | Mrs Andrea Nicole Todd, FNP-C
210 Lake Rd Ste 600,
Lake Jackson, TX 77566-4982
Ph: (979) 297-7337 |
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