| Angela Moccia, PA | |
|
4545 Heritage Trace Pkwy Ste 1500, Fort Worth, TX 76244-8938 | |
| (682) 683-2301 | |
| (813) 736-5446 |
| Full Name | Angela Moccia |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 4545 Heritage Trace Pkwy Ste 1500, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659929933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA12999 (Texas) | Primary |
| Entity Name | Oncology Hematology Consultants, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629021159 PECOS PAC ID: 5496646382 Enrollment ID: O20040322000664 |
| Entity Name | Rrr Hyperbarics 3 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871041913 PECOS PAC ID: 7113288101 Enrollment ID: O20180308001587 |
| Entity Name | Rrr Hyperbarics 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407278286 PECOS PAC ID: 4082975982 Enrollment ID: O20180308002199 |
| Entity Name | Rrr Hyperbarics 4 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205367455 PECOS PAC ID: 9537421482 Enrollment ID: O20180313001401 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Moccia, PA 5208 Woodglen Ln, Fort Worth, TX 76126-3065 Ph: (913) 426-6320 | Angela Moccia, PA 4545 Heritage Trace Pkwy Ste 1500, Fort Worth, TX 76244-8938 Ph: (682) 683-2301 |
Phillip Steven Woessner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104 Phone: 817-250-4280 Fax: 817-250-4281 |
Shane Kelleher, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-7840 Fax: 682-885-7856 |
Danielle Purcell Lopez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861 |
Jaimie Ann Story, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132 Phone: 817-375-5200 |
Stephanie Cervantes, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 5th Ave Ste 500, Fort Worth, TX 76104 Phone: 817-250-4280 Fax: 817-250-4281 |
Benjamin Craig, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-2500 Fax: 682-885-2510 |
Sharyl Workman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-927-1100 |