Tyra R Dixon, CRNP in Wilmington, DE - Medicare Nurse Practitioner

Tyra R Dixon, CRNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Wilmington, Delaware. Her current practice location is 1600 Rockland Rd, Wilmington, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 651-4200.

Tyra R Dixon is licensed to practice in New Jersey (license number 26NJ00260900) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336475938.

Contact Information

	Tyra R Dixon, CRNP
	1600 Rockland Rd, Wilmington, DE 19803-3607
	(302) 651-4200
	Not Available

Map and Direction

Provider's Profile

Full Name	Tyra R Dixon
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	1600 Rockland Rd, Wilmington, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336475938
Provider Enumeration Date: 11/02/2009
Last Update Date: 08/06/2025

Medicare PECOS Information:

PECOS PAC ID: 7911038724
Enrollment ID: I20100623000099

Medical Identifiers

Medical identifiers for Tyra R Dixon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336475938	NPI	-	NPPES
0238431	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	LH-0010308 (Delaware)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	SP011419 (Pennsylvania)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	26NJ00260900 (New Jersey)	Primary

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. Tyra R Dixon allows following entities to bill medicare on her behalf.

Entity Name	Virtua Medical Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338

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. Tyra R Dixon 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
Tyra R Dixon, CRNP Po Box 191, Rockland, DE 19732-0191 Ph: (302) 651-6718	Tyra R Dixon, CRNP 1600 Rockland Rd, Wilmington, DE 19803-3607 Ph: (302) 651-4200

Reviews and Comments

Nurse Practitioner Nurses in Wilmington, DE

Geetanjali Chatterjee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 N Washington St Ste 300, Wilmington, DE 19801 Phone: 302-320-5700
Ms. Janine M. Catanach, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Rd, Alfred I. Dupont Hospital For Children, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-5068
Mr. Kristopher Starr, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 W 14th St, Emergency Department, Wilmington, DE 19801 Phone: 302-320-4180 Fax: 302-575-1714
Miss Nadine Lindsay, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Lancaster Ave Ste E, Wilmington, DE 19805 Phone: 302-467-1778 Fax: 302-482-1790
Olamide Abiodun Vincent, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Concord Pike, Wilmington, DE 19803 Phone: 484-408-5168 Fax: 877-383-8544
Michelle Lauer, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 Foulk Rd Ste 102, Wilmington, DE 19803 Phone: 302-478-6199 Fax: 302-384-7162
Aimee Stumpo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1601 Concord Pike Ste 78, Wilmington, DE 19803 Phone: 302-644-5868 Fax: 302-772-6834

Tyra R Dixon, CRNP - Medicare Nurse Practitioner in Wilmington, DE