Jaclyn Rae Tyson, CRNP in Bethlehem, PA - Medicare Nurse Practitioner

Jaclyn Rae Tyson, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Bethlehem, Pennsylvania. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Luke's Physician Group Inc, Gslpg, Inc and her current practice location is 95 Highland Ave Ste 130, Bethlehem, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 503-8281.

Jaclyn Rae Tyson is licensed to practice in Pennsylvania (license number SP014350) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740661693.

Contact Information

	Jaclyn Rae Tyson, CRNP
	95 Highland Ave Ste 130, Bethlehem, PA 18017-9483
	(484) 503-8281
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn Rae Tyson
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	95 Highland Ave Ste 130, Bethlehem, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jaclyn Rae Tyson graduated from nursing school in 2014

NPI Data:

NPI Number: 1740661693
Provider Enumeration Date: 06/16/2015
Last Update Date: 10/19/2021

Medicare PECOS Information:

PECOS PAC ID: 7719395441
Enrollment ID: I20210419002698

Medical Identifiers

Medical identifiers for Jaclyn Rae Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740661693	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP014350 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Hospital Bethlehem	Bethlehem, PA	Hospital
St Luke's Hospital - Anderson Campus	Easton, PA	Hospital
St Luke's Hospital - Monroe Campus	Stroudsburg, PA	Hospital
St Luke's Hospital - Easton Campus	Easton, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Luke's Physician Group Inc	6709798333	1739
Gslpg, Inc	7810226875	227

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jaclyn Rae Tyson allows following entities to bill medicare on her behalf.

Entity Name	St Lukes Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062

Entity Name	Gslpg, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Rae Tyson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jaclyn Rae Tyson, CRNP 95 Highland Ave Ste 130, Bethlehem, PA 18017-9483 Ph: (484) 503-8281	Jaclyn Rae Tyson, CRNP 95 Highland Ave Ste 130, Bethlehem, PA 18017-9483 Ph: (484) 503-8281

Reviews and Comments

Nurse Practitioner Nurses in Bethlehem, PA

Kristen Scholz, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-526-2200 Fax: 484-526-2398
Judith Canaday, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 Brodhead Rd, Suite 205, Bethlehem, PA 18017 Phone: 610-882-3100 Fax: 610-882-9162
Mrs. Rachel Mary Hlavinka, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-730-8025
Jennifer Horgash, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 E 4th St, Bethlehem, PA 18015 Phone: 484-503-8010 Fax: 484-503-8009
Sandra Davis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2434 Catasauqua Rd, Bethlehem, PA 18018 Phone: 866-389-2727
Jiyoung Choi Kim, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1615 Charley Ln, Bethlehem, PA 18020 Phone: 470-362-8978
Elizabeth Margaret Reese, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2649 Schoenersville Rd Ste 301, Bethlehem, PA 18017 Phone: 484-884-4799 Fax: 484-893-8653

Jaclyn Rae Tyson, CRNP - Medicare Nurse Practitioner in Bethlehem, PA