Dr Nickolas Hadley Jr, DO is a medicare enrolled "Family Medicine" physician in Liberty Hill, Texas. His current practice location is
14365 Hwy 29 W, Suite 10, Liberty Hill, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 778-5160.
Dr Nickolas Hadley Jr is licensed to practice in Texas (license number U8993) 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 1164962221.
Physician's Profile
| Full Name | Dr Nickolas Hadley Jr |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 14365 Hwy 29 W, Liberty Hill, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164962221
- Provider Enumeration Date: 03/08/2017
- Last Update Date: 05/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 4981954500
- Enrollment ID: I20240515002585
Medical Identifiers
Medical identifiers for Dr Nickolas Hadley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164962221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | U8993 (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. Dr Nickolas Hadley Jr allows following entities to bill medicare on his behalf.
| Entity Name | St Davids Carenow Urgent Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851844104
PECOS PAC ID: 4284918418
Enrollment ID: O20170307000577 |
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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. Dr Nickolas Hadley Jr 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 |
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Dr Nickolas Hadley Jr, DO
14365 Hwy 29 W, Suite 10,
Liberty Hill, TX 78642
Ph: (512) 778-5160 | Dr Nickolas Hadley Jr, DO
14365 Hwy 29 W, Suite 10,
Liberty Hill, TX 78642
Ph: (512) 778-5160 |
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