Priyanka Suzanne Mooney, in Selma, TX - Medicare Nurse Practitioner

Priyanka Suzanne Mooney, is a medicare enrolled "Nurse Practitioner - Family" in Selma, Texas. Her current practice location is 17766 Verde Pkwy Ste 210, Selma, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 742-6555.

Priyanka Suzanne Mooney is licensed to practice in Texas (license number 1168781) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750129425.

Contact Information

	Priyanka Suzanne Mooney,
	17766 Verde Pkwy Ste 210, Selma, TX 78154-2226
	(210) 742-6555
	(224) 623-0079

Map and Direction

Provider's Profile

Full Name	Priyanka Suzanne Mooney
Gender	Female
Speciality	Nurse Practitioner - Family
Location	17766 Verde Pkwy Ste 210, Selma, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750129425
Provider Enumeration Date: 07/17/2024
Last Update Date: 06/13/2025

Medicare PECOS Information:

PECOS PAC ID: 5294267977
Enrollment ID: I20241018002740

Medical Identifiers

Medical identifiers for Priyanka Suzanne Mooney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750129425	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1168781 (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. Priyanka Suzanne Mooney allows following entities to bill medicare on her behalf.

Entity Name	Hillside Primary Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205349040 PECOS PAC ID: 0648530386 Enrollment ID: O20180129000878

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. Priyanka Suzanne Mooney 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 Address	Practice Location Address
Priyanka Suzanne Mooney, 12881 N Ih 35, Live Oak, TX 78233-2966 Ph: (210) 742-6555	Priyanka Suzanne Mooney, 17766 Verde Pkwy Ste 210, Selma, TX 78154-2226 Ph: (210) 742-6555

Reviews and Comments

Nurse Practitioner Nurses in Selma, TX

Rosanita Fuentes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15069 Ih 35 N Ste 116, Selma, TX 78154 Phone: 210-656-4878 Fax: 210-314-5044
Loren M Gorman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 Stampede Rnch, Selma, TX 78154 Phone: 817-705-1908
Jennifer Dohogne, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16202 Amberly Ct, Selma, TX 78154 Phone: 210-863-8990
Patricia L. Horton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5016 E Fm 1518 N, Selma, TX 78154 Phone: 210-654-9300 Fax: 210-855-0878
Ryan D Smith, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15069 Ih 35 N Ste 116, Selma, TX 78154 Phone: 210-656-4878
Michelle Renee Newsom, APRN-FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17766 Verde Pkwy Ste 260, Selma, TX 78154 Phone: 210-495-7246 Fax: 210-495-7245

Priyanka Suzanne Mooney, - Medicare Nurse Practitioner in Selma, TX