Nicole Niehues Dacy, MD in San Angelo, TX

Nicole Niehues Dacy, MD is a medicare enrolled "Dermatology" physician in San Angelo, Texas. Her current practice location is 3605 Executive Dr, San Angelo, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 747-2215.

Nicole Niehues Dacy is licensed to practice in Texas (license number T8791) 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 1790244820.

Contact Information

	Nicole Niehues Dacy, MD
	3605 Executive Dr, San Angelo, TX 76904-6884
	(325) 747-2215
	(325) 747-4551

Map and Direction

Physician's Profile

Full Name	Nicole Niehues Dacy
Gender	Female
Speciality	Dermatology
Location	3605 Executive Dr, San Angelo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790244820
Provider Enumeration Date: 03/18/2019
Last Update Date: 09/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9436517125
Enrollment ID: I20230628002080

Medical Identifiers

Medical identifiers for Nicole Niehues Dacy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790244820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	T8791 (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. Nicole Niehues Dacy allows following entities to bill medicare on her behalf.

Entity Name	Shannon Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702

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 Niehues Dacy 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 Niehues Dacy, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511	Nicole Niehues Dacy, MD 3605 Executive Dr, San Angelo, TX 76904-6884 Ph: (325) 747-2215

Reviews and Comments

Dermatology Doctors in San Angelo, TX

Dr. Charles E. Greeson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166
Ernest Charlesworth, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-481-2294
Jordan Leigh Jamerson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-747-2215
Ross A Alexander, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3555 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-949-9555
Ashley Brandon Delacerda, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 220 E. Harris, San Angelo, TX 76903 Phone: 325-481-2215 Fax: 325-481-2180
Dr. Mark Adam Ramirez, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3162 Appaloosa Cir, San Angelo, TX 76901 Phone: 325-224-5981 Fax: 325-224-5981
Dr. Steven E Ritter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-747-2215

Nicole Niehues Dacy, MD - Medicare Dermatology in San Angelo, TX