Tennille L Leftwich, PA-C is a medicare enrolled "Physician Assistant" physician in Plano, Texas. Her current practice location is
3901 W 15th St, Plano, Texas. You can reach out to her office (for appointments etc.) via phone at
(469) 562-1265.
Tennille L Leftwich is licensed to practice in Texas (license number PA05559) 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 1548448186.
Physician's Profile
| Full Name | Tennille L Leftwich |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 3901 W 15th St, Plano, 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: 1548448186
- Provider Enumeration Date: 02/06/2008
- Last Update Date: 09/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224115340
- Enrollment ID: I20080414000237
Medical Identifiers
Medical identifiers for Tennille L Leftwich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548448186 | NPI | - | NPPES |
| 174014100 | Other | TX | FIRST CARE |
| P00629320 | Other | TX | MEDICARE RAIL ROAD |
| 193513201 | Medicaid | TX | |
| 8Y3719 | Other | TX | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | PA05559 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA05559 (Texas) | Primary |
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. Tennille L Leftwich 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 |
|---|
Tennille L Leftwich, PA-C
3901 W 15th St,
Plano, TX 75075-7738
Ph: (469) 562-1265 | Tennille L Leftwich, PA-C
3901 W 15th St,
Plano, TX 75075-7738
Ph: (469) 562-1265 |
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