Jaclyn Tara Delauretis, PA-C is a medicare enrolled "Physician Assistant" in Millville, Pennsylvania. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Ophelia Medical Group Fl Pa, Ophelia Medical Group Nj Pc and her current practice location is
515 Jerseytown Rd, Millville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 458-5597.
Jaclyn Tara Delauretis is licensed to practice in Pennsylvania (license number MA057228) 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 1518355270.
Provider's Profile
| Full Name | Jaclyn Tara Delauretis |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 515 Jerseytown Rd, Millville, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jaclyn Tara Delauretis graduated from nursing school in 2019
NPI Data:
- NPI Number: 1518355270
- Provider Enumeration Date: 01/05/2015
- Last Update Date: 01/05/2015
Medicare PECOS Information:
- PECOS PAC ID: 6204152325
- Enrollment ID: I20150309002310
Medical Identifiers
Medical identifiers for Jaclyn Tara Delauretis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518355270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | MA057228 (Pennsylvania) | Primary |
| 363A00000X | Physician Assistant | OA003421 (Pennsylvania) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ophelia Medical Group Fl Pa | 7810398534 | 76 |
| Ophelia Medical Group Nj Pc | 0547657397 | 5 |
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 Tara Delauretis 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 |
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Jaclyn Tara Delauretis, PA-C
100 N Academy Ave,
Danville, PA 17822-9800
Ph: (570) 271-6144 | Jaclyn Tara Delauretis, PA-C
515 Jerseytown Rd,
Millville, PA 17846-8825
Ph: (570) 458-5597 |
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