Mr Nickalaus Phillip Swan, NP in Fort Worth, TX

Mr Nickalaus Phillip Swan, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Fort Worth, Texas. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Poppy Drive Inpatient Services Pllc and his current practice location is 1301 Pennsylvania Ave, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 281-7071.

Mr Nickalaus Phillip Swan is licensed to practice in Texas (license number AP137514) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265962500.

Contact Information

	Mr Nickalaus Phillip Swan, NP
	1301 Pennsylvania Ave, Fort Worth, TX 76104
	(972) 281-7071
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Nickalaus Phillip Swan
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	1301 Pennsylvania Ave, Fort Worth, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Nickalaus Phillip Swan graduated from nursing school in 2017

NPI Data:

NPI Number: 1265962500
Provider Enumeration Date: 06/19/2017
Last Update Date: 08/30/2018

Medicare PECOS Information:

PECOS PAC ID: 1254694458
Enrollment ID: I20181219002992

Medical Identifiers

Medical identifiers for Mr Nickalaus Phillip Swan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265962500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	AP137514 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baylor Scott And White Medical Center Sunnyvale	Sunnyvale, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Poppy Drive Inpatient Services Pllc	2163652009	9

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 Nickalaus Phillip Swan 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

Entity Name	Poppy Drive Inpatient Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417379058 PECOS PAC ID: 2163652009 Enrollment ID: O20140220001165

Entity Name	Dispatchhealth-texas P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649787896 PECOS PAC ID: 5395006035 Enrollment ID: O20180221000735

Entity Name	Pac Of Dallas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750060380 PECOS PAC ID: 8426411232 Enrollment ID: O20230828000780

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 Nickalaus Phillip Swan 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 Nickalaus Phillip Swan, NP 3804 Rock Bluff Dr, Dallas, TX 75227-5661 Ph: (972) 281-7071	Mr Nickalaus Phillip Swan, NP 1301 Pennsylvania Ave, Fort Worth, TX 76104 Ph: (972) 281-7071

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
Valerie Elise Ward, RN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 Miller Ave, Fort Worth, TX 76105 Phone: 817-534-7110 Fax: 817-413-0521
Maria Sybil Gagliano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bryant Irvin Rd, Fort Worth, TX 76132 Phone: 866-389-2727
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 Nickalaus Phillip Swan, NP - Medicare Nurse Practitioner in Fort Worth, TX