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Active NPI 1730101783 Individual Practitioner Female Practitioner

Mechiell Demetrius Tucker , PA

Physician Assistant • Desoto, TX

Professional Overview & Biography Verified Profile Summary

Mechiell Tucker, PA is a registered healthcare professional specializing in Physician Assistant in Desoto, TX. Practice services are available at 111 EXECUTIVE WAY STE 102 under active NPI credentials.

Frequently performed procedures and clinical services include residence visit for established patient with low level of medical decision making, per day, if using time, at least, physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 Executive Way Ste 102

Desoto, TX 751152388

Telephone 4699414029
Associated Practice Facility / Clinic
🏢 Advantage Home Health Llc Facility NPI 1518762327

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Desoto, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
12 Specialists

Practicing in Desoto, TX (11140 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
24 14 $151.36 $62.97

Medical Specialties & State Licenses

CMS Verified: 2020-07-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA02092

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

2727 Bolton Boone Dr, Ste 107

Desoto, TX 751152019

Phone: 2144532030

4501 Joe Ramsey Blvd E Ste 100

Greenville, TX 754017843

Phone: 9034085800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Latricia Jackson , APRN, FNP-BC

Nurse Practitioner - Family

NPI 1316809668

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Siminibe Moneke , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1861902934

NURSEPRACTITIONER

Rose Ifediora

Nurse Practitioner - Family

NPI 1982385654

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location July 15, 2020

Registered at 111 EXECUTIVE WAY STE 102, DESOTO, TX 751152388 (Tel: 4699414029)

📍
Updated Business Mailing Address July 15, 2020

Registered at 3008 BAYSIDE DR, ROCKWALL, TX 750875307 (Tel: 4699519984)

NPI Profile Active October 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2017

Registered at 4501 JOE RAMSEY BLVD E STE 100, GREENVILLE, TX 754017843 (Tel: 9034085800)

📍
Updated Business Mailing Address October 03, 2017

Registered at 4215 JOE RAMSEY BLVD E, GREENVILLE, TX 754017852

👤
Provider Name / Credentials Updated October 03, 2017

Recorded as MECHIELL TUCKER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

Physician Assistant (License #PA02092 in TX)

NPI Profile Active December 15, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2010

Registered at 2727 BOLTON BOONE DR, STE 107, DESOTO, TX 751152019 (Tel: 2144532030)

📍
Updated Business Mailing Address December 15, 2010

Registered at 2727 BOLTON BOONE DR, STE 107, DESOTO, TX 751152019 (Tel: 2144532030)

👤
Provider Name / Credentials Updated December 15, 2010

Recorded as MECHIELL TUCKER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2010

Physician Assistant (License #PA02092 in TX)

🟢
Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730101783
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: July 15, 2020
Sole Proprietor: No

Mailing Address

3008 Bayside Dr

Rockwall, TX 750875307

Phone: 4699519984

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.