Active NPI 1174765895 Individual Practitioner Female Practitioner

Elizabeth Dupree Wilson , PA-C

Physician Assistant • Lindale, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Elizabeth Wilson, PA-C is a certified Physician Assistant practicing in Lindale, TX. With approximately 18 years of clinical experience since completing medical education in 2008, Elizabeth Wilson delivers high-quality medical care to the local community at 520 N MAIN ST.

Elizabeth Wilson is affiliated with Oliver Street 5.01(A) Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

520 N Main St

Lindale, TX 757716424

Telephone 9035346200

Fax 9039390755

Associated Practice Facility / Clinic

🏢 Oliver Street Dermatology Asc Llc Facility NPI 1700822335

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lindale, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs Matches City Avg

City Avg: 18.0 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Lindale, TX (11140 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (18 Years) 18 Yrs

Lindale Specialty Average (18.0 Years) 18.0 Yrs

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
17003 Destruction of precancer skin growth, 2-14 growths	4,626	746	$23.00	$5.62
99213 Established patient office or other outpatient visit, typically 15 minutes	2,227	1,535	$309.00	$77.75
17000 Destruction of skin growth	1,354	966	$231.00	$46.66
11102 Tangential biopsy of single skin lesion	730	618	$341.00	$79.84
17110 Destruction of up to 14 skin growths	295	275	$388.00	$94.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	294	294	$379.00	$94.58
11103 Biopsy of related skin growth, each additional growth	159	125	$171.00	$42.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	142	131	$192.00	$48.13
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	83	76	$608.00	$148.01
99202 New patient office or other outpatient visit, typically 20 minutes	75	75	$246.00	$61.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	70	30	$24.00	$0.96
17004 Destruction of precancer skin growth, 15 or more growths	64	51	$570.00	$142.43
69100 Biopsy of ear	52	49	$325.00	$66.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	42	$435.00	$109.49
36415 Insertion of needle into vein for collection of blood sample	39	32	$10.00	$8.65
Q0112 All potassium hydroxide (koh) preparations	37	35	$19.00	$5.71
11104 Punch biopsy, first skin growth	36	35	$425.00	$105.99
11200 Removal of skin tag, 1-15 skin tags	28	28	$316.00	$58.02
11900 Injection into skin growth, 1-7 growths	25	24	$196.00	$39.18
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	19	19	$506.00	$116.44
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	17	17	$393.00	$95.46
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	16	16	$413.00	$103.27
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	16	16	$341.00	$63.98
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	14	14	$357.00	$86.68
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$466.00	$115.84
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$643.00	$160.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,099	815	$23.00	$5.43
99213 Established patient office or other outpatient visit, typically 15 minutes	2,111	1,494	$297.00	$73.69
17000 Destruction of skin growth	1,443	1,042	$223.00	$44.71
11102 Tangential biopsy of single skin lesion	680	598	$338.00	$78.45
17110 Destruction of up to 14 skin growths	379	347	$378.00	$90.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	317	289	$186.00	$45.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	279	279	$369.00	$91.08
11103 Biopsy of related skin growth, each additional growth	151	125	$168.00	$41.11
99202 New patient office or other outpatient visit, typically 20 minutes	140	140	$238.00	$59.08
17004 Destruction of precancer skin growth, 15 or more growths	95	77	$562.00	$138.04
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	75	64	$594.00	$137.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	75	25	$24.00	$1.10
11200 Removal of skin tag, 1-15 skin tags	56	56	$304.00	$58.01
Q0112 All potassium hydroxide (koh) preparations	48	45	$19.00	$5.71
69100 Biopsy of ear	46	43	$321.00	$61.79
36415 Insertion of needle into vein for collection of blood sample	44	40	$10.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	39	$420.00	$104.65
11104 Punch biopsy, first skin growth	38	38	$419.00	$102.76
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	30	29	$338.00	$62.13
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	26	23	$492.00	$102.30
11900 Injection into skin growth, 1-7 growths	21	19	$190.00	$39.93
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	18	17	$407.00	$97.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,152	865	$23.00	$5.63
99213 Established patient office or other outpatient visit, typically 15 minutes	1,764	1,297	$295.00	$74.82
17000 Destruction of skin growth	1,503	1,090	$221.00	$44.91
11102 Tangential biopsy of single skin lesion	742	638	$338.00	$80.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	580	509	$184.00	$46.48
17110 Destruction of up to 14 skin growths	327	305	$374.00	$91.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	272	272	$365.00	$91.42
11103 Biopsy of related skin growth, each additional growth	172	132	$169.00	$42.51
99202 New patient office or other outpatient visit, typically 20 minutes	169	169	$237.00	$60.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	167	35	$24.00	$1.13
17004 Destruction of precancer skin growth, 15 or more growths	109	87	$554.00	$140.14
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	62	52	$587.00	$141.24
69100 Biopsy of ear	61	58	$319.00	$62.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	21	$47.00	$11.86
11104 Punch biopsy, first skin growth	47	43	$420.00	$106.08
36415 Insertion of needle into vein for collection of blood sample	47	38	$10.00	$2.97
11200 Removal of skin tag, 1-15 skin tags	42	40	$296.00	$58.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$416.00	$105.90
Q0112 All potassium hydroxide (koh) preparations	36	35	$19.00	$5.74
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	31	28	$485.00	$112.87
11900 Injection into skin growth, 1-7 growths	21	17	$186.00	$40.36
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	19	19	$339.00	$77.71
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	17	17	$406.00	$93.44
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	13	13	$356.00	$82.80
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$544.00	$126.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,010	732	$21.16	$5.44
99213 Established patient office or other outpatient visit, typically 15 minutes	1,603	1,133	$287.81	$75.71
17000 Destruction of skin growth	1,294	924	$212.79	$42.56
11102 Tangential biopsy of single skin lesion	840	733	$334.92	$80.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	468	406	$179.18	$46.51
17110 Destruction of up to 14 skin growths	338	310	$365.41	$92.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	245	245	$358.34	$92.35
11103 Biopsy of related skin growth, each additional growth	220	172	$171.02	$44.13
17004 Destruction of precancer skin growth, 15 or more growths	186	138	$531.63	$137.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	152	39	$23.99	$1.24
99202 New patient office or other outpatient visit, typically 20 minutes	146	146	$234.42	$60.28
36415 Insertion of needle into vein for collection of blood sample	71	50	$9.96	$3.00
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	62	54	$574.79	$135.97
69100 Biopsy of ear	61	57	$319.72	$66.53
11104 Punch biopsy, first skin growth	46	46	$418.27	$108.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	41	$405.21	$107.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	20	$46.00	$11.77
Q0112 All potassium hydroxide (koh) preparations	44	42	$19.00	$5.83
11900 Injection into skin growth, 1-7 growths	30	25	$182.00	$38.43
11200 Removal of skin tag, 1-15 skin tags	29	28	$289.83	$58.10
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	20	20	$332.10	$59.63
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	18	16	$478.29	$110.11
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	17	17	$381.00	$93.45
10060 Simple or single drainage of skin abscess	13	13	$398.00	$103.03
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	12	$451.74	$117.06
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	12	$405.00	$104.92
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$459.28	$118.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,785	679	$17.68	$5.04
99213 Established patient office or other outpatient visit, typically 15 minutes	1,498	1,062	$178.37	$62.60
17000 Destruction of skin growth	1,275	882	$156.99	$42.36
11102 Tangential biopsy of single skin lesion	885	747	$237.84	$77.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	502	442	$260.18	$90.85
17110 Destruction of up to 14 skin growths	271	240	$277.29	$90.34
11103 Biopsy of related skin growth, each additional growth	253	186	$125.37	$44.35
99202 New patient office or other outpatient visit, typically 20 minutes	217	217	$186.79	$63.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	184	157	$112.75	$37.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	142	36	$17.06	$1.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$264.55	$89.92
17004 Destruction of precancer skin growth, 15 or more growths	103	89	$372.90	$132.62
36415 Insertion of needle into vein for collection of blood sample	74	55	$7.01	$2.98
69100 Biopsy of ear	73	69	$236.79	$68.10
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	61	56	$434.98	$144.19
Q0112 All potassium hydroxide (koh) preparations	57	55	$14.95	$5.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	23	$38.41	$11.90
11104 Punch biopsy, first skin growth	45	44	$296.33	$105.05
11200 Removal of skin tag, 1-15 skin tags	35	34	$222.37	$48.92
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	34	31	$226.47	$63.93
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	30	29	$335.47	$105.69
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	21	19	$294.02	$90.15
11900 Injection into skin growth, 1-7 growths	21	19	$140.07	$32.89
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	20	19	$294.00	$96.55
10060 Simple or single drainage of skin abscess	18	17	$330.75	$101.87
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	14	12	$261.25	$78.94
99201 New patient office or other outpatient visit, typically 10 minutes	13	13	$110.88	$37.99
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$352.23	$117.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,731	809	$13.74	$4.58
99213 Established patient office or other outpatient visit, typically 15 minutes	1,698	1,204	$151.00	$61.06
17000 Destruction of skin growth	1,602	1,067	$133.00	$41.18
11102 Tangential biopsy of single skin lesion	1,076	901	$202.00	$75.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	609	533	$221.00	$89.52
17110 Destruction of up to 14 skin growths	413	375	$226.00	$88.25
99202 New patient office or other outpatient visit, typically 20 minutes	301	301	$155.00	$62.28
11103 Biopsy of related skin growth, each additional growth	294	235	$109.00	$43.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	261	232	$92.00	$36.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	193	38	$9.72	$1.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$220.00	$87.18
17004 Destruction of precancer skin growth, 15 or more growths	120	98	$311.00	$124.71
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	118	101	$361.00	$133.86
36415 Insertion of needle into vein for collection of blood sample	80	48	$6.00	$2.94
69100 Biopsy of ear	70	64	$201.00	$63.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	69	26	$34.00	$13.69
Q0112 All potassium hydroxide (koh) preparations	67	52	$12.00	$5.71
11200 Removal of skin tag, 1-15 skin tags	56	55	$181.00	$49.32
11104 Punch biopsy, first skin growth	50	49	$254.00	$100.46
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	40	38	$200.00	$55.91
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	38	37	$296.00	$107.86
99201 New patient office or other outpatient visit, typically 10 minutes	26	26	$93.00	$37.49
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	23	21	$233.00	$83.01
11900 Injection into skin growth, 1-7 growths	23	19	$111.00	$31.01
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	20	$384.00	$150.41
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	18	17	$209.00	$67.64
10060 Simple or single drainage of skin abscess	16	16	$243.00	$94.80
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	15	15	$245.00	$98.14
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	12	$337.00	$129.53
40490 Biopsy of lip	11	11	$259.00	$103.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,013	783	$37.39	$4.27
99213 Established patient office or other outpatient visit, typically 15 minutes	1,479	1,121	$105.36	$59.67
17000 Destruction of skin growth	1,457	1,027	$144.03	$42.60
11100 Biopsy of single growth of skin and/or tissue	1,062	897	$185.17	$80.95
95044 Test for allergy using skin patch	658	23	$21.42	$4.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	579	554	$156.42	$88.33
17110 Destruction of up to 14 skin growths	354	321	$195.68	$89.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	348	286	$68.50	$35.77
99202 New patient office or other outpatient visit, typically 20 minutes	310	310	$116.66	$61.07
11101 Biopsy of each additional growth of skin and/or tissue	256	197	$85.65	$26.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	199	39	$9.12	$1.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	183	183	$174.25	$87.21
17004 Destruction of precancer skin growth, 15 or more growths	172	138	$377.20	$117.60
36415 Insertion of needle into vein for collection of blood sample	99	67	$20.57	$2.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	73	33	$48.00	$16.68
69100 Biopsy of ear	70	65	$196.11	$66.92
Q0112 All potassium hydroxide (koh) preparations	62	54	$14.09	$5.71
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	58	54	$312.27	$132.24
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	55	22	$23.34	$7.02
11200 Removal of skin tag, 1-15 skin tags	50	50	$151.91	$57.10
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	45	43	$256.90	$111.10
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	25	24	$294.98	$125.39
99201 New patient office or other outpatient visit, typically 10 minutes	22	22	$65.38	$36.40
10060 Simple or single drainage of skin abscess	21	21	$207.36	$97.63
11900 Injection into skin growth, 1-7 growths	16	15	$100.59	$38.81
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	15	15	$155.33	$53.09
17111 Destruction of skin growth, 15 or more growths	14	12	$211.72	$107.58
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	13	13	$176.48	$71.61
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	11	11	$151.59	$90.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,800	770	$37.39	$4.49
99213 Established patient office or other outpatient visit, typically 15 minutes	1,496	1,129	$105.36	$59.28
17000 Destruction of skin growth	1,419	1,031	$144.03	$40.65
11100 Biopsy of single growth of skin and/or tissue	1,154	959	$185.17	$77.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	747	701	$156.42	$87.47
17110 Destruction of up to 14 skin growths	536	474	$195.68	$88.01
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	379	65	$9.12	$1.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	349	307	$68.50	$35.21
11101 Biopsy of each additional growth of skin and/or tissue	325	237	$85.65	$26.48
99202 New patient office or other outpatient visit, typically 20 minutes	316	316	$116.66	$60.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	212	212	$174.25	$87.20
17004 Destruction of precancer skin growth, 15 or more growths	199	159	$377.20	$121.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	111	53	$48.00	$19.84
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	80	68	$312.27	$131.40
36415 Insertion of needle into vein for collection of blood sample	79	62	$20.57	$2.91
69100 Biopsy of ear	79	76	$196.11	$63.68
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	79	31	$23.34	$6.92
Q0112 All potassium hydroxide (koh) preparations	72	64	$14.55	$5.74
11200 Removal of skin tag, 1-15 skin tags	65	61	$151.91	$53.86
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	45	13	$441.23	$354.25
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	37	13	$233.13	$106.57
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	34	30	$256.90	$105.10
99201 New patient office or other outpatient visit, typically 10 minutes	27	27	$65.38	$35.53
17111 Destruction of skin growth, 15 or more growths	25	23	$211.72	$101.72
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	23	$336.56	$144.62
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	20	17	$294.98	$115.74
11900 Injection into skin growth, 1-7 growths	18	17	$100.59	$31.28
10060 Simple or single drainage of skin abscess	18	16	$207.36	$95.33
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	17	16	$155.33	$53.19

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA06074

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.

Hospital & Practice Group Affiliations

Oliver Street 5.01(A) Inc

1367 Dominion Plz, Tyler, TX 757031013

Phone: 9035346200

Practice Associates & Co-Workers

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

20 Associated Practitioners

Dr. Shanna Meads , MD

Dermatology

NPI 1023054624

Doctor of Medicine (M.D.)

John Campbell , FNP

Nurse Practitioner

NPI 1043252174

Family Nurse Practitioner

Dr. Stephen Beck , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1063490472

Doctor of Medicine (M.D.)

Brit Hatch , PA-C

Physician Assistant

NPI 1073934568

Physician Assistant (Certified)

Dr. Bradley Graham , MD

Dermatology

NPI 1083641062

Doctor of Medicine (M.D.)

Dr. Alma Berlingeri Ramos , MD

Dermatology

NPI 1083818884

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active August 08, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 08, 2017

Registered at 520 N MAIN ST, LINDALE, TX 757716424 (Tel: 9035346200)

📍

Updated Business Mailing Address August 08, 2017

Registered at 5310 HARVEST HILL RD STE 290, DALLAS, TX 752305826 (Tel: (214) 420-0672)

👤

Provider Name / Credentials Updated August 08, 2017

Recorded as ELIZABETH WILSON, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2017

Physician Assistant (License #PA06074 in TX)

✅

NPI Profile Active March 26, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location March 26, 2009

Registered at 4504 BOAT CLUB RD, STE.800, FORT WORTH, TX 761357003 (Tel: 8172374794)

📍

Updated Business Mailing Address March 26, 2009

Registered at 141 N. INDUSTRIAL, AZLE, TX 76020 (Tel: 8174443231)

👤

Provider Name / Credentials Updated March 26, 2009

Recorded as ELIZABETH WILSON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2009

Physician Assistant (License #PA06074 in TX)

🟢

Initial NPI Registration & Enumeration March 26, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174765895

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 26, 2009

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5310 Harvest Hill Rd Ste 290

Dallas, TX 752305826

Phone: 2144200672

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.