Kathryn Tyrrell Degoursey, PA-C - Medicare Physician Assistant in Jacksonville, FL

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Kathryn Tyrrell Degoursey, PA-C is a medicare enrolled "Physician Assistant" in Jacksonville, Florida. She graduated from nursing school in 1987 and has 39 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Vincent's Ambulatory Care Inc and her current practice location is 3550 University Blvd S Ste 302, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 733-4444.

Kathryn Tyrrell Degoursey is licensed to practice in Florida (license number PA1974) 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 1659384766.

Contact Information

Kathryn Tyrrell Degoursey, PA-C
3550 University Blvd S Ste 302,
Jacksonville, FL 32216
(904) 733-4444
(904) 733-5377

Map and Direction




Provider's Profile

Full NameKathryn Tyrrell Degoursey
GenderFemale
SpecialityPhysician Assistant
Experience39 Years
Location3550 University Blvd S Ste 302, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathryn Tyrrell Degoursey graduated from nursing school in 1987
  NPI Data:
  • NPI Number: 1659384766
  • Provider Enumeration Date: 08/14/2006
  • Last Update Date: 02/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1254310527
  • Enrollment ID: I20040719001496

Medical Identifiers

Medical identifiers for Kathryn Tyrrell Degoursey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659384766NPI-NPPES
009353600MedicaidFL
018008600MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA1974 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St Vincent's SouthsideJacksonville, FLHospital
Baptist Medical Center JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent's Ambulatory Care Inc2860411188303

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. Kathryn Tyrrell Degoursey allows following entities to bill medicare on her behalf.
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430

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. Kathryn Tyrrell Degoursey 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 AddressPractice Location Address
Kathryn Tyrrell Degoursey, PA-C
10058 Baymeadows Rd,
Jacksonville, FL 32256-7177

Ph: (904) 636-5400		Kathryn Tyrrell Degoursey, PA-C
3550 University Blvd S Ste 302,
Jacksonville, FL 32216

Ph: (904) 733-4444

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.