Jacqueline Kathy Tellez, in Bristol, VA - Medicare Nurse Practitioner

Jacqueline Kathy Tellez, is a medicare enrolled "Nurse Practitioner - Family" in Bristol, Virginia. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Medical Clinic Pllc and her current practice location is 3355 Linden Dr, Bristol, Virginia. You can reach out to her office (for appointments etc.) via phone at (423) 833-6539.

Jacqueline Kathy Tellez is licensed to practice in Virginia (license number 0024188373) 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 1790408961.

Contact Information

	Jacqueline Kathy Tellez,
	3355 Linden Dr, Bristol, VA 24202-5868
	(423) 833-6539
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Kathy Tellez
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	3355 Linden Dr, Bristol, Virginia
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:

Jacqueline Kathy Tellez graduated from nursing school in 2021

NPI Data:

NPI Number: 1790408961
Provider Enumeration Date: 09/22/2022
Last Update Date: 02/10/2025

Medicare PECOS Information:

PECOS PAC ID: 3173993151
Enrollment ID: I20231209000001

Medical Identifiers

Medical identifiers for Jacqueline Kathy Tellez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790408961	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0000031726 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	0024188373 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fast Pace Medical Clinic Pllc	5395881841	680

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. Jacqueline Kathy Tellez allows following entities to bill medicare on her behalf.

Entity Name	Recover Together Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891102497 PECOS PAC ID: 7810247533 Enrollment ID: O20201026000131

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. Jacqueline Kathy Tellez 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
Jacqueline Kathy Tellez, 5948 Wildlife Cir, Piney Flats, TN 37686-2937 Ph: (423) 833-6539	Jacqueline Kathy Tellez, 3355 Linden Dr, Bristol, VA 24202-5868 Ph: (423) 833-6539

Reviews and Comments

Nurse Practitioner Nurses in Bristol, VA

Catherine Campbell Parker, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1662 Bonham Rd, Bristol, VA 24201 Phone: 276-644-9899 Fax: 276-644-9978
Samantha Joline Fox, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Moore St Ste B, Bristol, VA 24201 Phone: 276-591-5448
Jessica N Bembry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 743 Island Rd, Bristol, VA 24201 Phone: 276-469-4200
Chase Weaver, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 North St Ste A, Bristol, VA 24201 Phone: 423-844-5300 Fax: 423-844-5310
Susan K Johnson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 W Valley Dr, Bristol, VA 24201 Phone: 276-466-1600 Fax: 276-466-2800
Teresa A Roatsey, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 North St, Bristol, VA 24201 Phone: 423-844-6000 Fax: 423-844-5090
Kathy Lynne Sharp, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 349 Island Rd, Bristol, VA 24201 Phone: 276-469-4200 Fax: 276-469-4249

Jacqueline Kathy Tellez, - Medicare Nurse Practitioner in Bristol, VA