MR. MAURICE SKILLERN DMS-PA NPI 1073525903

NPI Details

MR. Maurice Skillern, DMS-PA is a physician assistant in Memphis, TN. The provider is 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. MR. Maurice Skillern, DMS-PA NPI is 1073525903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4131 KIRBY PKWY STE 1
MEMPHIS, TN
ZIP 38115-500
Phone: (706) 536-3272
Fax: (833) 903-2341

The NPI 1073525903 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home (HCPCS:M0201)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
• Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose (HCPCS:0001A)

The enumeration date for this NPI number is 8/12/2006 and was last updated on 11/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.