Tina Ann Wilkinson Moore, PA in Willow Park, TX

Tina Ann Wilkinson Moore, PA is a medicare enrolled "Physician Assistant" in Willow Park, Texas. Her current practice location is 5700 E I 20 Service Rd S, Willow Park, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 489-7300.

Tina Ann Wilkinson Moore is licensed to practice in Texas (license number PA03112) 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 1124013198.

Contact Information

	Tina Ann Wilkinson Moore, PA
	5700 E I 20 Service Rd S, Willow Park, TX 76008-5115
	(817) 489-7300
	(817) 489-7302

Map and Direction

Provider's Profile

Full Name	Tina Ann Wilkinson Moore
Gender	Female
Speciality	Physician Assistant
Location	5700 E I 20 Service Rd S, Willow Park, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124013198
Provider Enumeration Date: 09/15/2005
Last Update Date: 01/28/2019

Medicare PECOS Information:

PECOS PAC ID: 7719948553
Enrollment ID: I20041025000459

Medical Identifiers

Medical identifiers for Tina Ann Wilkinson Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124013198	NPI	-	NPPES
196341501	Medicaid	TX
196341502	Medicaid	TX
8F9743	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA03112 (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. Tina Ann Wilkinson Moore 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
Tina Ann Wilkinson Moore, PA 5700 E I 20 Service Rd S, Willow Park, TX 76008-5115 Ph: (817) 737-7000	Tina Ann Wilkinson Moore, PA 5700 E I 20 Service Rd S, Willow Park, TX 76008-5115 Ph: (817) 489-7300

Reviews and Comments

Physician Assistant Nurses in Willow Park, TX

Mr. Michael Grey Meador Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 251 Crown Pointe Blvd, Willow Park, TX 76087 Phone: 817-489-7300 Fax: 817-489-7302
Jayton Chapa, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 141 Jd Towles Dr, Willow Park, TX 76087 Phone: 817-778-4484
Angelica Maria Salazar, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Crown Pointe Blvd Ste 200, Willow Park, TX 76087 Phone: 817-599-7661
Mrs. Ashley Marie Waldrop, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 136 El Chico Trl Ste 102, Willow Park, TX 76087 Phone: 817-441-5412 Fax: 817-441-5412

Tina Ann Wilkinson Moore, PA - Medicare Physician Assistant in Willow Park, TX