Randy Ranshawn Moore, PA-C in Longview, TX - Medicare Physician Assistant

Randy Ranshawn Moore, PA-C is a medicare enrolled "Physician Assistant" in Longview, Texas. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Longview Wellness Center Inc and his current practice location is 425 N Fredonia St, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 758-2610.

Randy Ranshawn Moore is licensed to practice in Texas (license number PA07050) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053627265.

Contact Information

	Randy Ranshawn Moore, PA-C
	425 N Fredonia St, Longview, TX 75601-6464
	(903) 758-2610
	(903) 758-7081

Map and Direction

Provider's Profile

Full Name	Randy Ranshawn Moore
Gender	Male
Speciality	Physician Assistant
Experience	14 Years
Location	425 N Fredonia St, Longview, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Randy Ranshawn Moore graduated from nursing school in 2010

NPI Data:

NPI Number: 1053627265
Provider Enumeration Date: 08/25/2010
Last Update Date: 01/10/2024

Medicare PECOS Information:

PECOS PAC ID: 6103941844
Enrollment ID: I20100917000520

Medical Identifiers

Medical identifiers for Randy Ranshawn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053627265	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA07050 (Texas)	Primary
363A00000X	Physician Assistant	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Longview Wellness Center Inc	1254367766	17

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. Randy Ranshawn Moore 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
Randy Ranshawn Moore, PA-C 1107 E Marshall Ave, Longview, TX 75601-5602 Ph: (903) 758-2610	Randy Ranshawn Moore, PA-C 425 N Fredonia St, Longview, TX 75601-6464 Ph: (903) 758-2610

Reviews and Comments

Physician Assistant Nurses in Longview, TX

Paul L. Burch, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2131 S Mobberly Ave, Longview, TX 75602 Phone: 903-315-5750 Fax: 903-236-7145
Mr. David Edward Stanley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy, Suite A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127
Kraig A. Dekoker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy, Suite A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127
Mrs. Amy J Malone, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 N 4th St, Longview, TX 75601 Phone: 903-757-6042 Fax: 903-758-1801
Ms. Ashley Briana-marie Gentry, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 707 Hollybrook Dr # 200, Longview, TX 75605 Phone: 903-235-9787 Fax: 903-291-6155
Michael L. Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2010 Bill Owens Pkwy, Longview, TX 75604 Phone: 903-247-3400 Fax: 903-238-9183

Randy Ranshawn Moore, PA-C - Medicare Physician Assistant in Longview, TX