David Walton Didlake, AG-ACNP in Richardson, TX

David Walton Didlake, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Richardson, Texas. His current practice location is 2821 E President George Bush Hwy Ste 505, Richardson, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 943-1191.

David Walton Didlake is licensed to practice in Texas (license number 1074220) 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 1215664768.

Contact Information

	David Walton Didlake, AG-ACNP
	2821 E President George Bush Hwy Ste 505, Richardson, TX 75082-4278
	(214) 943-1191
	(214) 599-2601

Map and Direction

Provider's Profile

Full Name	David Walton Didlake
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	2821 E President George Bush Hwy Ste 505, Richardson, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215664768
Provider Enumeration Date: 08/04/2022
Last Update Date: 09/07/2022

Medicare PECOS Information:

PECOS PAC ID: 0840675195
Enrollment ID: I20220922001212

Medical Identifiers

Medical identifiers for David Walton Didlake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215664768	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1074220 (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 Walton Didlake allows following entities to bill medicare on his behalf.

Entity Name	Medhealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912957200 PECOS PAC ID: 9931001567 Enrollment ID: O20040123000832

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 Walton Didlake 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 Walton Didlake, AG-ACNP 2821 E President George Bush Hwy Ste 505, Richardson, TX 75082-4278 Ph: (214) 943-1191	David Walton Didlake, AG-ACNP 2821 E President George Bush Hwy Ste 505, Richardson, TX 75082-4278 Ph: (214) 943-1191

Reviews and Comments

Nurse Practitioner Nurses in Richardson, TX

Precious Cunningham, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4011 E Renner Rd Ste 110, Richardson, TX 75082 Phone: 972-234-3299
Simona E Arnautov, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3001 E President George Bush Hwy Ste 175, Richardson, TX 75082 Phone: 214-635-5701 Fax: 844-289-7691
Bobbi Bridges, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1164 Commerce Dr, Richardson, TX 75081 Phone: 210-693-5119
Mrs. Rugare Mugabe Khosa, APRN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 708 W Spring Valley Rd, Richardson, TX 75080 Phone: 214-570-9400 Fax: 972-792-7268
Jamie Lynn Hulm, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 399 W Campbell Rd Ste 303, Richardson, TX 75080 Phone: 972-835-1112
Caroline Elise Barber, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1129 Southwestern Dr, Richardson, TX 75081 Phone: 972-824-9436
Mrs. Nichole Lynette Straughter, MSN,APRN,FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 N Collins Blvd Ste 607, Richardson, TX 75080 Phone: 800-640-3451

David Walton Didlake, AG-ACNP - Medicare Nurse Practitioner in Richardson, TX