Dr Tequilla Tavockious Ayinla, MD in Wilkes Barre, PA

Dr Tequilla Tavockious Ayinla, MD is a medicare enrolled "Family Medicine" physician in Wilkes Barre, Pennsylvania. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Geisinger Clinic and her current practice location is 175 S Wilkes Barre Blvd, Wilkes Barre, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 829-2621.

Dr Tequilla Tavockious Ayinla is licensed to practice in Pennsylvania (license number MD474509) 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 1639674062.

Contact Information

	Dr Tequilla Tavockious Ayinla, MD
	175 S Wilkes Barre Blvd, Wilkes Barre, PA 18702-5040
	(570) 829-2621
	(570) 823-4332

Map and Direction

Physician's Profile

Full Name	Dr Tequilla Tavockious Ayinla
Gender	Female
Speciality	Family Practice
Experience	7 Years
Location	175 S Wilkes Barre Blvd, Wilkes Barre, Pennsylvania
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:

Dr Tequilla Tavockious Ayinla attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2017

NPI Data:

NPI Number: 1639674062
Provider Enumeration Date: 03/27/2018
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 0446590350
Enrollment ID: I20210807000055

Medical Identifiers

Medical identifiers for Dr Tequilla Tavockious Ayinla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639674062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD474509 (Pennsylvania)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Geisinger Wyoming Valley Medical Center	Wilkes barre, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Geisinger Clinic	5395657001	2841

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 Tequilla Tavockious Ayinla allows following entities to bill medicare on her behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

Entity Name	Caring Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679038293 PECOS PAC ID: 5698004588 Enrollment ID: O20190830001893

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 Tequilla Tavockious Ayinla 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
Dr Tequilla Tavockious Ayinla, MD 25 Church St, Wilkes Barre, PA 18765-2401 Ph: (570) 808-3100	Dr Tequilla Tavockious Ayinla, MD 175 S Wilkes Barre Blvd, Wilkes Barre, PA 18702-5040 Ph: (570) 829-2621

Reviews and Comments

Family Medicine Doctors in Wilkes Barre, PA

Jason Raymond Woloski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 166 Hanover St, Wilkes Barre, PA 18702 Phone: 570-808-8780 Fax: 570-825-8785
Weber Wu, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 S Wilkes Barre Blvd, Wilkes Barre, PA 18702 Phone: 570-829-2621 Fax: 570-823-4332
John George Birmer, CRRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 84 W South St, Wilkes Barre, PA 18766 Phone: 570-954-6476
Dr. Melita Konecke, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-552-7260 Fax: 570-552-7268
Dr. Arundev D Desai, MBBS Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3521
Stephanie A Gill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 169 N Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-491-0126 Fax: 570-230-0013
Madhavi Madhurapantula, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 25 Church St, Wilkes Barre, PA 18765 Phone: 570-808-3181 Fax: 570-808-8935

Dr Tequilla Tavockious Ayinla, MD - Medicare Family Practice in Wilkes Barre, PA