| Fiona M Wycoff, PA | |
|
850 Central Pkwy E, Suite 275, Plano, TX 75074-5561 | |
| (972) 881-4688 | |
| (972) 881-4609 |
| Full Name | Fiona M Wycoff |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 850 Central Pkwy E, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407187032 | NPI | - | NPPES |
| 8N0136 | Other | TX | BCBS |
| P01054027 | Other | TX | RAILROAD PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Athletic Orthopedic & Knee Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154346971 PECOS PAC ID: 5092798405 Enrollment ID: O20040608000738 |
| Entity Name | Legacy Physiatry Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316078769 PECOS PAC ID: 1759353519 Enrollment ID: O20070907000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Fiona M Wycoff, PA 850 Central Pkwy E, Suite 275, Plano, TX 75074-5561 Ph: (972) 881-4688 | Fiona M Wycoff, PA 850 Central Pkwy E, Suite 275, Plano, TX 75074-5561 Ph: (972) 881-4688 |
Mrs. Jennifer Archer Moylon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7601 Preston Rd, Plano, TX 75024 Phone: 469-303-4700 |
Louise Conklin Gunter, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5425 W Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 |
Susan Diane Ryan, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 850 Central Pkwy E, Suite 275, Plano, TX 75074 Phone: 972-881-4688 Fax: 972-881-4609 |
Laura Christine. Hanna, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5228 W Plano Pkwy, Plano, TX 75093 Phone: 972-250-5700 Fax: 972-250-5747 |
Nghi Gia Huynh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4031 W Plano Pkwy Ste 100, Plano, TX 75093 Phone: 972-492-1334 |
Sanjana Sai Nelluri, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7601 Preston Rd, Plano, TX 75024 Phone: 469-303-7000 |
Katharine Michele Holt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6000 W Spring Creek Pkwy Ste 200, Plano, TX 75024 Phone: 972-316-4555 Fax: 972-378-9996 |