Mrs Madeline Mccluer Dickerson, AG-ACNP in Fort Worth, TX

Mrs Madeline Mccluer Dickerson, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Fort Worth, Texas. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Texas Health Physicians Group and her current practice location is 800 5th Ave Ste 500, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 250-4280.

Mrs Madeline Mccluer Dickerson is licensed to practice in Texas (license number AP126665) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104220029.

Contact Information

	Mrs Madeline Mccluer Dickerson, AG-ACNP
	800 5th Ave Ste 500, Fort Worth, TX 76104-7304
	(817) 250-4280
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Madeline Mccluer Dickerson
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	800 5th Ave Ste 500, Fort Worth, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Madeline Mccluer Dickerson graduated from nursing school in 2014

NPI Data:

NPI Number: 1104220029
Provider Enumeration Date: 10/21/2014
Last Update Date: 02/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2769708346
Enrollment ID: I20150225000958

Medical Identifiers

Medical identifiers for Mrs Madeline Mccluer Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104220029	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	AP126665 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Texas Health Physicians Group	4385535954	1203

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. Mrs Madeline Mccluer Dickerson allows following entities to bill medicare on her 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	Siripurapu Associates Pllc Medical Associates Of North Texas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023495702 PECOS PAC ID: 5698086924 Enrollment ID: O20150612001373

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. Mrs Madeline Mccluer Dickerson 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
Mrs Madeline Mccluer Dickerson, AG-ACNP 800 5th Ave Ste 500, Fort Worth, TX 76104-7304 Ph: (817) 250-4280	Mrs Madeline Mccluer Dickerson, AG-ACNP 800 5th Ave Ste 500, Fort Worth, TX 76104-7304 Ph: (817) 250-4280

Reviews and Comments

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Mrs Madeline Mccluer Dickerson, AG-ACNP - Medicare Nurse Practitioner in Fort Worth, TX