Richard John Anaya, PAC
Individual provider Active NPI Medical Physician Assistant · Vinton, TX
NPI 1639338270 · NPPES record last updated Sep 15, 2015
Key facts
- NPI
- 1639338270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA00416 (TX)
- Practice address
- 7920 Doniphan Dr
Vinton, TX 79821-7628 - Phone
- (915) 886-3399
- Fax
- (915) 886-2999
- NPI assigned
- Jun 9, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Medicine of West Texas PLLC
Practice addresses (Care Compare)
7236 N Mesa
El Paso, TX 79912-3653
Phone (915) 581-6405
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080801000340 | TX | Practitioner - Physician Assistant | 8921172479 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00416 | TX | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA00416 | TX | Yes |
Addresses
Primary practice location
7920 Doniphan Dr
Vinton, TX 79821-7628
Mailing address
2022 Murchison Dr 100
El Paso, TX 79902-3058
Phone (915) 533-5388
Other providers in Vinton, TX
All providers in Vinton, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.