Dr Jacquelyn Tyra, OD - Medicare Optometrist in Ashburn, VA

Dr Jacquelyn Tyra, OD is a medicare enrolled "Optometrist" provider in Ashburn, Virginia. Her current practice location is 43490 Yukon Dr Ste 200, Ashburn, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 724-0330.

Dr Jacquelyn Tyra is licensed to practice in Virginia (license number 0618002779) 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 1154896363.

Contact Information

Dr Jacquelyn Tyra, OD
43490 Yukon Dr Ste 200,
Ashburn, VA 20147-7315
(703) 724-0330
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jacquelyn Tyra
GenderFemale
SpecialityOptometrist
Location43490 Yukon Dr Ste 200, Ashburn, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154896363
  • Provider Enumeration Date: 10/04/2018
  • Last Update Date: 05/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648646869
  • Enrollment ID: I20221013000229

Medical Identifiers

Medical identifiers for Dr Jacquelyn Tyra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154896363NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 0618002779 (Virginia)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. Dr Jacquelyn Tyra allows following entities to bill medicare on her behalf.
Provider NameLoudoun Eye Associates, Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1811198989
PECOS PAC ID: 6709946254
Enrollment ID: O20081113000767

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. Dr Jacquelyn Tyra 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
Dr Jacquelyn Tyra, OD
21735 Pinewood Ct,
Sterling, VA 20164-2300

Ph: (703) 304-2459
Dr Jacquelyn Tyra, OD
43490 Yukon Dr Ste 200,
Ashburn, VA 20147-7315

Ph: (703) 724-0330

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.