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PAUL LAVAL PUCKETT PAC
NPI 1407961410
Physician Assistant - Medical in Greenville, TX

Active since August 20, 2006PECOS Enrolled
4215 JOE RAMSEY BLVD, GREENVILLE, TX 75403(903) 408-5000(214) 712-2487 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul Laval Puckett Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL LAVAL PUCKETT PAC (NPI 1407961410) is an individual medical provider in Greenville, Texas, licensed in Texas (PA02778) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Paris Regional Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1407961410
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NamePAUL LAVAL PUCKETTCredential: PAC
Location Address4215 JOE RAMSEY BLVDGreenville, TX 75403
Mailing Address2464 Fm 2820Summer, TX 75486 · (903) 784-1291
Phone(903) 408-5000
Fax(214) 712-2487
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 20, 2006
Last NPPES UpdateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1407961410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA02778
4215 JOE RAMSEY BLVD, Greenville, TX 75403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Laval Puckett Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830104538
PECOS Enrollment IDI20060216000497
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
107 services87 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
80 services49 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
52 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Paris Regional Medical Center

Acute Care Hospitals · Paris, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450196
Location865 Deshong DrParis, TX 75460 · Lamar County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers34 claims81 services$5.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims17 services$1.05 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers11 claims11 services$114.74 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers11 claims32 services$41.86 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$69.77 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers19 claims19 services$18.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EARL DAY TYLER MD
Radiology (Diagnostic Radiology)
4215 JOE RAMSEY BLVD
GREENVILLE, TX 75403
Hunt County (903) 408-5000
HI-LINE RADIOLOGY
Radiology (Diagnostic Radiology)
4215 JOE RAMSEY BLVD
GREENVILLE, TX 75403
Hunt County (903) 408-5000
APEX RADIOLOGY PA
Radiology (Diagnostic Radiology)
4215 JOE RAMSEY BLVD
GREENVILLE, TX 75403
Hunt County (903) 408-5000

Frequently Asked Questions

What is Paul Puckett's NPI number?

The NPI number assigned to this healthcare provider is 1407961410, enumerated as an "individual" on August 20, 2006.

Where is the provider located?

The provider is located at 4215 JOE RAMSEY BLVD GREENVILLE, TX 75403 and the phone number is (903) 408-5000.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

What insurance does Paul Puckett accept?

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.

Is Paul Puckett affiliated with any hospitals?

Paul Puckett is affiliated with: PARIS REGIONAL MEDICAL CENTER.