Mr Kyle Davidson, AGACNP-BC in Fort Worth, TX

Mr Kyle Davidson, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Fort Worth, Texas. His current practice location is 800 5th Ave Ste 500, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 767-4221.

Mr Kyle Davidson is licensed to practice in Texas (license number 1055726) 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 1235463209.

Contact Information

	Mr Kyle Davidson, AGACNP-BC
	800 5th Ave Ste 500, Fort Worth, TX 76104-7304
	(817) 767-4221
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kyle Davidson
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	800 5th Ave Ste 500, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235463209
Provider Enumeration Date: 09/23/2009
Last Update Date: 02/25/2022

Medicare PECOS Information:

PECOS PAC ID: 6305235409
Enrollment ID: I20211111000413

Medical Identifiers

Medical identifiers for Mr Kyle Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235463209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1055726 (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. Mr Kyle Davidson allows following entities to bill medicare on his behalf.

Entity Name	Texas Health Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759

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. Mr Kyle Davidson 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
Mr Kyle Davidson, AGACNP-BC 800 5th Ave Ste 500, Fort Worth, TX 76104-7304 Ph: (720) 318-4870	Mr Kyle Davidson, AGACNP-BC 800 5th Ave Ste 500, Fort Worth, TX 76104-7304 Ph: (817) 767-4221

Reviews and Comments

Nurse Practitioner Nurses in Fort Worth, TX

Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287
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Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520
Lacy Pitchford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104 Phone: 817-336-4896 Fax: 817-332-2805
Mary Agnes Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-922-7070
Susan Akberzie, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014

Mr Kyle Davidson, AGACNP-BC - Medicare Nurse Practitioner in Fort Worth, TX