Daisy Manalel , PA-C
Physician Assistant • Rockwall, TX
3140 Horizon Rd Ste 101
Rockwall, TX 750327822
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on January 25, 2012; this date does not establish years in practice.
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Published CMS data list 381 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 164 service units.
- 99213 — Established patient outpatient office visit: 99 service units.
- 87428 — Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza: 28 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 8 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,810 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Rosuvastatin Calcium — 155 prescription fills, including refills.
- Losartan Potassium — 120 prescription fills, including refills.
- Atorvastatin Calcium — 109 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 58 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Rockwall, TX (2024, 27 clinicians with data). Median for this group: 316. Middle half: 162 to 797.
More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 41 in 2020 to 381 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
3140 Horizon Rd Ste 101
Rockwall, TX 750327822
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in West Bloomfield, MI. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Legacy Healthcare Services Inc; Texas Health Physicians Group. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Nova Southeastern College Of Osteo Medicine
2011
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
174 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $32,155 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $23,522 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
3,344 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$121,168 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $3,049.56 across 202 records.
By nature of payment
- Food and Beverage: $3,049.56 across 202 records.
Reporting-company totals (3 largest of 25)
- Axsome Therapeutics, Inc.: $479.33 across 18 records.
- ABBVIE INC.: $391.42 across 52 records.
- Corcept Therapeutics: $339.14 across 9 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
15 years (graduated 2011)
CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2012
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Daisy Manalel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Daisy Manalel as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Rockwall and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant in Rockwall, TX (2024, 27 clinicians with data). Median for this group: 316. Middle half: 162 to 797.
More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Rockwall, TX (2024, 27 clinicians with data). Median for this group: $26,509. Middle half: $13,851 to $48,917.
A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Rockwall, TX (2024, 27 clinicians with data). Median for this group: $18,993. Middle half: $9,100 to $34,657.
A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Rockwall, TX (2024, 28 clinicians with data). Median for this group: 356. Middle half: 123 to 1,135.
More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Rockwall, TX (2024, 28 clinicians with data). Median for this group: $15,792. Middle half: $2,166 to $125,497.
A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.
38 active clinicians are listed under Physician Assistant with a practice address in Rockwall, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Rockwall
18.4% of these 38 clinicians have the CMS telehealth indicator.
63.2% of these 38 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 829% from 41 in 2020 to 381 in 2024.
- 2020: 41
- 2021: 126
- 2022: 83
- 2023: 84
- 2024: 381
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Medicare-allowed amount
Medicare-allowed amount increased 1127% from $2,621 in 2020 to $32,155 in 2024.
- 2020: $2,621
- 2021: $9,489
- 2022: $5,858
- 2023: $6,336
- 2024: $32,155
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Paid by Medicare
Paid by Medicare increased 1196% from $1,815 in 2020 to $23,522 in 2024.
- 2020: $1,815
- 2021: $6,927
- 2022: $3,327
- 2023: $5,018
- 2024: $23,522
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 326% from 425 in 2018 to 1,810 in 2024.
- 2018: 425
- 2019: 208
- 2021: 84
- 2022: 122
- 2024: 1,810
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30-day fills
30-day fills increased 291% from 855 in 2018 to 3,344 in 2024.
- 2018: 855
- 2019: 510
- 2021: 171
- 2022: 316
- 2024: 3,344
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Part D drug cost
Part D drug cost increased 2449% from $4,754 in 2018 to $121,168 in 2024.
- 2018: $4,754
- 2019: $3,303
- 2021: $936
- 2022: $1,717
- 2024: $121,168
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $439.10 in 2023 to $3,049.56 in 2025.
- 2023: $439.10
- 2024: $1,853.14
- 2025: $3,049.56
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 202 records totaling $3,049.56.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
|
Korlym | General | $117.81 |
| Kowa Pharmaceuticals America, Inc. |
Food and Beverage
In-kind items and services
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ZORYVE | General | $86.06 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $42.81 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $42.81 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $40.14 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $38.57 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
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Auvelity | General | $34.43 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
Auvelity | General | $33.43 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
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Auvelity | General | $32.72 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $31.48 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
Auvelity | General | $31.27 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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REXULTI | General | $29.76 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
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Auvelity | General | $29.36 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
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GEMTESA | General | $28.78 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
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Auvelity | General | $28.72 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
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Auvelity | General | $28.72 |
| Lundbeck LLC |
Food and Beverage
Cash or cash equivalent
|
REXULTI | General | $26.77 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
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GEMTESA | General | $26.02 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
Auvelity | General | $25.75 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
Auvelity | General | $25.69 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
Auvelity | General | $25.65 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
Auvelity | General | $25.53 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
Auvelity | General | $25.52 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
REXULTI | General | $25.40 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
|
CAPLYTA | General | $25.29 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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164 | 99 | $323.00 | $103.71 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
99 | 80 | $218.00 | $73.05 |
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87428
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
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28 | 24 | $133.62 | $67.50 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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28 | 28 | $339.00 | $105.03 |
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81003
Automated urinalysis test
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17 | 15 | $10.00 | $2.20 |
|
90662
Influenza vaccine split virus, preservative free
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15 | 15 | $93.73 | $81.16 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
15 | 15 | $325.00 | $90.93 |
|
G0008
Administration of influenza virus vaccine
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15 | 15 | $60.00 | $31.03 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Rosuvastatin Calcium | Rosuvastatin Calcium | 155 | 9,510 | $1,922.24 | 52 |
| Losartan Potassium | Losartan Potassium | 120 | 7,570 | $802.41 | 51 |
| Atorvastatin Calcium | Atorvastatin Calcium | 109 | 8,192 | $848.15 | 45 |
| Amlodipine Besylate | Amlodipine Besylate | 94 | 7,361 | $561.53 | 51 |
| Levothyroxine Sodium | Levothyroxine Sodium | 78 | 5,230 | $414.19 | 31 |
| Montelukast Sodium | Montelukast Sodium | 76 | 4,860 | $562.52 | 31 |
| Metformin Hcl Er | Metformin Hcl | 69 | 3,885 | $278.97 | 23 |
| Metoprolol Succinate | Metoprolol Succinate | 51 | 3,200 | $455.64 | 19 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 49 | 352 | $186.53 | 43 |
| Azithromycin | Azithromycin | 47 | 232 | $177.30 | 47 |
| Hydrochlorothiazide | Hydrochlorothiazide | 42 | 2,314 | $69.13 | 17 |
| Jardiance | Empagliflozin | 41 | 1,830 | $35,590.23 | 15 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 37 | 194 | $155.90 | 32 |
| Sertraline Hcl | Sertraline Hcl | 35 | 1,770 | $97.25 | 13 |
| Lisinopril | Lisinopril | 30 | 2,254 | $157.02 | 13 |
| Tamsulosin Hcl | Tamsulosin Hcl | 29 | 2,370 | $484.98 | 11 |
| Alendronate Sodium | Alendronate Sodium | 28 | 1,652 | $124.78 | — |
| Clonazepam | Clonazepam | 28 | 1,020 | $278.61 | 11 |
| Escitalopram Oxalate | Escitalopram Oxalate | 27 | 1,110 | $153.18 | 12 |
| Omeprazole | Omeprazole | 27 | 2,205 | $399.51 | 14 |
| Trazodone Hcl | Trazodone Hcl | 27 | 1,110 | $71.40 | 13 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 27 | 852 | $650.18 | 18 |
| Metformin Hcl | Metformin Hcl | 25 | 1,920 | $157.20 | 13 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 25 | 750 | $16,696.79 | — |
| Alprazolam | Alprazolam | 23 | 545 | $51.53 | 13 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-08-16NUCC Taxonomy Code: 363A00000X
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.
NUCC Taxonomy Code: 363AM0700X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20230804000851
TX
1153624606
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Legacy Healthcare Services Inc
800 College Pkwy, Lewisville, TX 750773503
Phone: 9724208543
Texas Health Physicians Group
4333 N Josey Ln, Carrollton, TX 750104620
Phone: 9723944500
Texas Health Physicians Group
8440 Walnut Hill Ln, Dallas, TX 752313825
Phone: 2143455999
Secondary Practice Locations
6530 Farmington Rd
West Bloomfield, MI 483223216
Phone: 3134335624
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Family Nurse Practitioner (Board Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 3140 HORIZON RD STE 101, ROCKWALL, TX 750327822 (Tel: 9727725522)
Registered at 6530 FARMINGTON RD, WEST BLOOMFIELD, MI 483223216 (Tel: 3134335624)
Registered at 6530 FARMINGTON RD, WEST BLOOMFIELD, MI 483223216
NPI status registered as active in NPPES database
Registered at 8877 HARRY HINES BLVD, DALLAS, TX 752351715 (Tel: 2143932940)
Registered at 1500 W BIG BEAVER RD STE 104, TROY, MI 480843522
Recorded as DAISY MANALEL, PA-C
Physician Assistant (license number reported to NPPES: TX PA07572)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Rockwall
- Heather Capps, PA-C
- Erica Mumford, PA
- Kelsey Etley, PA-C
- Megan Perkins, PA-C
- Brenda Wallace, PA-C
- Lya Swaner, PA-C
Mailing Address
6530 Farmington Rd
West Bloomfield, MI 483223216