| Kevin Skinner, PA | |
|
800 E Dawson St, Tyler, TX 75701-2036 | |
| (903) 593-8441 | |
| Not Available |
| Full Name | Kevin Skinner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 800 E Dawson St, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164790721 | NPI | - | NPPES |
| 75-0818167-048 | Other | TX | TRICARE |
| 75-1976930-005 | Other | TX | TRICARE |
| 75-2616977-028 | Other | TX | TRICARE |
| P01200590 | Other | TX | RAIL ROAD |
| P01276462 | Other | TX | RAIL ROAD |
| 288707706 | Medicaid | TX | |
| 288707707 | Medicaid | TX | |
| P01200614 | Other | TX | RAIL ROAD |
| 288707704 | Medicaid | TX | |
| 288707703 | Medicaid | TX | |
| 8107ND | Other | TX | BCBS |
| 8108ND | Other | TX | BCBS |
| 75-0818167-015 | Other | TX | TRICARE |
| 75-0818167-044 | Other | TX | TRICARE |
| 75-2616977-001 | Other | TX | TRICARE |
| 75-2616977-129 | Other | TX | TRICARE |
| 288707705 | Medicaid | TX | |
| 75-0818167-022 | Other | TX | TRICARE |
| 75-2616977-002 | Other | TX | TRICARE |
| 8808NA | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Texas) | Primary |
| 363A00000X | Physician Assistant | PA07717 (Texas) | Secondary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Entity Name | Northeast Texas Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114607611 PECOS PAC ID: 8527420306 Enrollment ID: O20230810001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Skinner, PA Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 606-6400 | Kevin Skinner, PA 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 593-8441 |
David Robert Dewalch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 600, Tyler, TX 75701 Phone: 903-596-3488 |
Anna Beth Willits, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3414 Golden Rd Apt B, Tyler, TX 75701 Phone: 325-665-8276 |
Mrs. Dawn Elise O'neal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 410, Tyler, TX 75701 Phone: 903-531-8950 |
Charles Crowell Pierce, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 619 S Fleishel Ave Ste 305, Tyler, TX 75701 Phone: 903-606-1173 |
Matthew Tassinari, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2208 Three Lakes Pkwy Ste 200, Tyler, TX 75703 Phone: 903-596-3844 Fax: 903-596-3843 |
Jordan Fayth Cooke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8101 S Broadway Ave, Tyler, TX 75703 Phone: 903-939-7500 Fax: 903-939-7728 |
Mrs. Megan Renee Followwell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5777 New Copeland Rd, Tyler, TX 75703 Phone: 903-561-9255 |