Mrs Shabree Nicole Nichols-caleb, OD - Medicare Optometrist in Fort Worth, TX

Mrs Shabree Nicole Nichols-caleb, OD is a medicare enrolled "Optometrist" provider in Fort Worth, Texas. Her current practice location is 4909 Golden Triangle Blvd Ste 211, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 428-4488.

Mrs Shabree Nicole Nichols-caleb is licensed to practice in Texas (license number 9289T) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700294949.

Contact Information

Mrs Shabree Nicole Nichols-caleb, OD
4909 Golden Triangle Blvd Ste 211,
Fort Worth, TX 76244-4480
(817) 428-4488
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Shabree Nicole Nichols-caleb
GenderFemale
SpecialityOptometrist
Location4909 Golden Triangle Blvd Ste 211, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700294949
  • Provider Enumeration Date: 07/31/2014
  • Last Update Date: 02/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0042430100
  • Enrollment ID: I20141013001804

Medical Identifiers

Medical identifiers for Mrs Shabree Nicole Nichols-caleb such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700294949NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2819 (Oklahoma)Secondary
152W00000XOptometrist 9289T (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. Mrs Shabree Nicole Nichols-caleb allows following entities to bill medicare on her behalf.
Provider NameMid-del Vision Source, Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1982940508
PECOS PAC ID: 3274768239
Enrollment ID: O20131113001833

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 Shabree Nicole Nichols-caleb 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
Mrs Shabree Nicole Nichols-caleb, OD
4909 Golden Triangle Blvd Ste 211,
Fort Worth, TX 76244-4480

Ph: (817) 428-4488
Mrs Shabree Nicole Nichols-caleb, OD
4909 Golden Triangle Blvd Ste 211,
Fort Worth, TX 76244-4480

Ph: (817) 428-4488

Reviews and Comments


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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.

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