David W Nichols, MD - Medicare Pediatrics in Southlake, TX

David W Nichols, MD is a medicare enrolled "Pediatrics" physician in Southlake, Texas. His current practice location is 480 W Southlake Blvd, Ste 133, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 329-9234.

David W Nichols is licensed to practice in Texas (license number J6631) 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 1508941758.

Contact Information

David W Nichols, MD
480 W Southlake Blvd, Ste 133,
Southlake, TX 76092-6162
(817) 329-9234
(817) 329-9239

Map and Direction




Physician's Profile

Full NameDavid W Nichols
GenderMale
SpecialityPediatrics
Location480 W Southlake Blvd, Southlake, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508941758
  • Provider Enumeration Date: 10/26/2006
  • Last Update Date: 04/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5395913818
  • Enrollment ID: I20110727000339

Medical Identifiers

Medical identifiers for David W Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508941758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics J6631 (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 W Nichols allows following entities to bill medicare on his behalf.
Entity NameCook Childrens Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750369203
PECOS PAC ID: 7719884584
Enrollment ID: O20040128000800

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 W Nichols 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 AddressPractice Location Address
David W Nichols, MD
Po Box 733784,
Dallas, TX 75373-3784

Ph: (682) 885-1855
David W Nichols, MD
480 W Southlake Blvd, Ste 133,
Southlake, TX 76092-6162

Ph: (817) 329-9234

Reviews and Comments


Pediatrics Doctors in Southlake, TX

Dr. Atoosa Kourosh, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1170 N Carroll Ave, Southlake, TX 76092
Phone: 214-702-6550    Fax: 214-894-4182
Michelle M Mckane, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092
Phone: 682-885-6000    Fax: 682-885-6050
Dr. Arthur Eric Benzick, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 731 E Southlake Blvd, 100, Southlake, TX 76092
Phone: 817-424-3366    Fax: 817-552-8540
Magda Fawzy, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092
Phone: 682-885-6000    Fax: 682-885-6026
Dr. Erica J Zwernemann, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 731 E Southlake Blvd, Suite 100, Southlake, TX 76092
Phone: 817-912-8800    Fax: 817-912-8810
Roger S Knapp Ii, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 480 W Southlake Blvd, Ste 133, Southlake, TX 76092
Phone: 817-329-9234    Fax: 817-329-9239
Jacqueline R Hanna, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092
Phone: 682-885-6000    Fax: 682-885-6026

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.