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

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Dr Tequilla Tavockious Ayinla, MD is a medicare enrolled "Family Medicine" physician in Hazleton, Pennsylvania. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2017 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Geisinger Clinic, Medexpress Urgent Care, Pc - Pennsylvania and her current practice location is 141 N Vine St, Hazleton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 454-0500.

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
141 N Vine St,
Hazleton, PA 18201-5852
(570) 454-0500
Not Available

Map and Direction




Physician's Profile

Full NameDr Tequilla Tavockious Ayinla
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location141 N Vine St, Hazleton, Pennsylvania
Accepts Medicare AssignmentsYes. 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: 11/24/2025
  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.
IdentifierTypeStateIssuer
1639674062NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD474509 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Geisinger Wyoming Valley Medical CenterWilkes barre, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Geisinger Clinic53956570013078
Medexpress Urgent Care, Pc - Pennsylvania8224181482212

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 NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518
Entity NameMedexpress Urgent Care, Pc - Pennsylvania
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982839031
PECOS PAC ID: 8224181482
Enrollment ID: O20090805000511
Entity NameCaring Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Dr Tequilla Tavockious Ayinla, MD
2100 Mack Blvd Fl 4,
Allentown, PA 18103-5622

Ph: () -		Dr Tequilla Tavockious Ayinla, MD
141 N Vine St,
Hazleton, PA 18201-5852

Ph: (570) 454-0500

Reviews and Comments


Family Medicine Doctors in Hazleton, PA

Dr. Barbara A Vilushis, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 23 E Broad St, Hazleton, PA 18201
Phone: 570-454-8204    Fax: 570-459-0099
Dr. Lisa A Tabbit, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 149 N Vine St, Hazleton, PA 18201
Phone: 570-454-0500    Fax: 570-454-5005
Raveena Gandhi, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 426 Airport Road, Hazleton, PA 18202
Phone: 570-459-9730    Fax: 570-459-9736
Nalan Reibschied, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 700 E Broad St, Hazleton, PA 18201
Phone: 570-501-4193    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.