Md Moinul Islam, PA - Medicare Physician Assistant in Odessa, TX

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Md Moinul Islam, PA is a medicare enrolled "Physician Assistant" in Odessa, Texas. His current practice location is 6030 W. University, Odessa, Texas. You can reach out to his office (for appointments etc.) via phone at (432) 640-6600.

Md Moinul Islam is licensed to practice in Texas (license number PA09504) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184022758.

Contact Information

Md Moinul Islam, PA
6030 W. University,
Odessa, TX 79764
(432) 640-6600
(432) 640-4790

Map and Direction




Provider's Profile

Full NameMd Moinul Islam
GenderMale
SpecialityPhysician Assistant
Location6030 W. University, Odessa, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184022758
  • Provider Enumeration Date: 12/15/2014
  • Last Update Date: 01/21/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1456676568
  • Enrollment ID: I20150212001813

Medical Identifiers

Medical identifiers for Md Moinul Islam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184022758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA09504 (Texas)Primary

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. Md Moinul Islam allows following entities to bill medicare on his behalf.
Entity NameTexas Em-i Medical Services PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437334414
PECOS PAC ID: 6507760543
Enrollment ID: O20031201000296
Entity NameEctor County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366680555
PECOS PAC ID: 5496657769
Enrollment ID: O20040412001222
Entity NameMaverick Emergency Medicine Associates PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306806781
PECOS PAC ID: 6002878337
Enrollment ID: O20041029000433
Entity NameConcord Medical Group PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531
Entity NameSt Joseph Emergency Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326324047
PECOS PAC ID: 2163698929
Enrollment ID: O20111228000136
Entity NameVictoria Emergency Partners LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164770996
PECOS PAC ID: 7012165939
Enrollment ID: O20120919000322
Entity NameAngelina Emergency Medicine Associates PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518397298
PECOS PAC ID: 5395973564
Enrollment ID: O20140115000579
Entity NameConcord Medical Group of Texas PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567
Entity NameEss of Nacogdoches LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780139956
PECOS PAC ID: 3375821630
Enrollment ID: O20161021000335
Entity NameIntegrative Emergency Services Physician Group-houston PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801458708
PECOS PAC ID: 7113258500
Enrollment ID: O20191016002208
Entity NameMemorial Hermann Hospital Based Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295363497
PECOS PAC ID: 4385075480
Enrollment ID: O20200505001521
Entity NameEmergency Medicine Services of TX, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245938729
PECOS PAC ID: 3375909351
Enrollment ID: O20230517001124
Entity NameElite Hospital Partners, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609625995
PECOS PAC ID: 2062941057
Enrollment ID: O20250121000588

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. Md Moinul Islam 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
Md Moinul Islam, PA
Po Box 2129,
Odessa, TX 79760-2129

Ph: (432) 640-6600		Md Moinul Islam, PA
6030 W. University,
Odessa, TX 79764

Ph: (432) 640-6600

Reviews and Comments


Physician Assistant Nurses in Odessa, TX

Jack K Willis Jr., PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4060 Medical Park Dr # A, Odessa, TX 79765
Phone: 432-582-2882    Fax: 432-582-2884
Tina M Butler, P.A-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 500 E 4th St, Odessa, TX 79761
Phone: 432-580-8686    Fax: 432-582-2302
Hanh Hoang Lovitt, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 500 W 4th St, Odessa, TX 79761
Phone: 432-640-4000    
Madison Cross,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4060 Medical Park Dr, Odessa, TX 79765
Phone: 432-582-2882    Fax: 432-582-2884
Mr. Richard L Mittan, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4040 Medical Park Dr, Odessa, TX 79765
Phone: 432-333-6603    Fax: 432-333-8014
Mrs. Dayna Lavallee,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 401 E 6th St, Odessa, TX 79761
Phone: 432-582-2280    
Miranda Nhoy, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4060 Medical Park Dr, Odessa, TX 79765
Phone: 432-582-2882    Fax: 432-582-2884

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.