Nicole Bryan, Md Pllc is a medicare enrolled "Otolaryngology" provider in Carrollton, Texas. Their current practice location is
1790 King Arthur Blvd, Suite 120, Carrollton, Texas. You can reach out to their office (for appointments etc.) via phone at
(972) 492-4006.
Nicole Bryan, Md Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Nicole Bryan, Md Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1902216294.
Healthcare Provider's Profile
Full Name | Nicole Bryan, Md Pllc |
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Type | Facility |
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Speciality | Otolaryngology |
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Location | 1790 King Arthur Blvd, Carrollton, Texas |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902216294
- Provider Enumeration Date: 05/07/2014
- Last Update Date: 01/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 4688896822
- Enrollment ID: O20141104000923
Medical Identifiers
Medical identifiers for Nicole Bryan, Md Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902216294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Nicole Bryan, Md Pllc acts as a billing entity for following providers:
Provider Name | Nicole L Bryan |
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Provider Type | Practitioner - Otolaryngology |
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Provider Identifiers | NPI Number: 1740329754 PECOS PAC ID: 9032285002 Enrollment ID: I20080828000145 |
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Provider Name | Brian Graf |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1275815243 PECOS PAC ID: 7315268489 Enrollment ID: I20150602001644 |
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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. Nicole Bryan, Md Pllc 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 |
Nicole Bryan, Md Pllc 1790 King Arthur Blvd, Suite 120, Carrollton, TX 75010 Ph: (972) 492-4006 | Nicole Bryan, Md Pllc 1790 King Arthur Blvd, Suite 120, Carrollton, TX 75010 Ph: (972) 492-4006 |
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