Nicole Kristen Nieman, MD is a medicare enrolled "Hospitalist" physician in Prosper, Texas. Her current practice location is
4100 W University Dr, Prosper, Texas. You can reach out to her office (for appointments etc.) via phone at
(945) 204-4100.
Nicole Kristen Nieman is licensed to practice in Texas (license number U7026) 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 1881221810.
Physician's Profile
Full Name | Nicole Kristen Nieman |
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Gender | Female |
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Speciality | Hospitalist |
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Location | 4100 W University Dr, Prosper, 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: 1881221810
- Provider Enumeration Date: 03/27/2020
- Last Update Date: 06/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779914692
- Enrollment ID: I20240426000093
Medical Identifiers
Medical identifiers for Nicole Kristen Nieman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881221810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | U7026 (Texas) | Primary |
208000000X | Pediatrics | U7026 (Texas) | Secondary |
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. Nicole Kristen Nieman allows following entities to bill medicare on her behalf.
Entity Name | Cook Childrens Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
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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. Nicole Kristen Nieman 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 |
Nicole Kristen Nieman, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Nicole Kristen Nieman, MD 4100 W University Dr, Prosper, TX 75078-3123 Ph: (945) 204-4100 |
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