Jessica Renee Tryon, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Tolar, Texas. 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 Lakeshore Ent and her current practice location is
626 Billings Rd, Tolar, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 776-6115.
Jessica Renee Tryon is licensed to practice in Texas (license number 1068383) 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 1376295220.
Provider's Profile
| Full Name | Jessica Renee Tryon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 626 Billings Rd, Tolar, Texas |
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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:
- Jessica Renee Tryon graduated from nursing school in 2021
NPI Data:
- NPI Number: 1376295220
- Provider Enumeration Date: 01/21/2022
- Last Update Date: 04/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 0345628467
- Enrollment ID: I20220602000280
Medical Identifiers
Medical identifiers for Jessica Renee Tryon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376295220 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1068383 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lakeshore Ent | 2466412226 | 3 |
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. Jessica Renee Tryon allows following entities to bill medicare on her behalf.
| Entity Name | Lakeshore Ent |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003096991
PECOS PAC ID: 2466412226
Enrollment ID: O20041015000375 |
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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. Jessica Renee Tryon 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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Jessica Renee Tryon, FNP-C
626 Billings Rd,
Tolar, TX 76476-5423
Ph: (817) 776-6115 | Jessica Renee Tryon, FNP-C
626 Billings Rd,
Tolar, TX 76476-5423
Ph: (817) 776-6115 |
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