Charlie Elizabeth Wood, PA in Tyler, TX - Medicare Physician Assistant

Charlie Elizabeth Wood, PA is a medicare enrolled "Physician Assistant" in Tyler, Texas. Her current practice location is 4293 Kinsey Dr, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 592-5670.

Charlie Elizabeth Wood is licensed to practice in Texas (license number ) 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 1275053910.

Contact Information

	Charlie Elizabeth Wood, PA
	4293 Kinsey Dr, Tyler, TX 75703-1004
	(903) 592-5670
	Not Available

Map and Direction

Provider's Profile

Full Name	Charlie Elizabeth Wood
Gender	Female
Speciality	Physician Assistant
Location	4293 Kinsey Dr, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275053910
Provider Enumeration Date: 06/23/2017
Last Update Date: 05/18/2023

Medicare PECOS Information:

PECOS PAC ID: 6406115328
Enrollment ID: I20180122001273

Medical Identifiers

Medical identifiers for Charlie Elizabeth Wood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275053910	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA11666 (Texas)	Secondary
363A00000X	Physician Assistant	(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. Charlie Elizabeth Wood 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
Charlie Elizabeth Wood, PA Po Box 146, Joinerville, TX 75658-0146 Ph: (903) 520-4301	Charlie Elizabeth Wood, PA 4293 Kinsey Dr, Tyler, TX 75703-1004 Ph: (903) 592-5670

Reviews and Comments

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Charlie Elizabeth Wood, PA - Medicare Physician Assistant in Tyler, TX