Ms Jacqueline Leigh Tyler, LCSW - Medicare Clinical Social Worker in Vienna, VA

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Ms Jacqueline Leigh Tyler, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Vienna, Virginia. Her current practice location is 2504 Patrick St, Vienna, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 207-9136.

Ms Jacqueline Leigh Tyler is licensed to practice in Virginia (license number 0904005809) 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 1871600635.

Contact Information

Ms Jacqueline Leigh Tyler, LCSW
2504 Patrick St,
Vienna, VA 22180-6844
(703) 207-9136
(703) 207-9740

Map and Direction




Healthcare Provider's Profile

Full NameMs Jacqueline Leigh Tyler
GenderFemale
SpecialitySocial Worker - Clinical
Location2504 Patrick St, Vienna, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871600635
  • Provider Enumeration Date: 08/25/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0840337572
  • Enrollment ID: I20091028000532

Medical Identifiers

Medical identifiers for Ms Jacqueline Leigh Tyler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871600635NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 0904005809 (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. Ms Jacqueline Leigh Tyler allows following entities to bill medicare on her behalf.
Entity NameMental Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154356244
PECOS PAC ID: 6002701356
Enrollment ID: O20040217000340
Entity NameFairfax County, Virginia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154356244
PECOS PAC ID: 9739136847
Enrollment ID: O20210319001688

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. Ms Jacqueline Leigh Tyler 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
Ms Jacqueline Leigh Tyler, LCSW
2516 N Dearing St,
Alexandria, VA 22302-1807

Ph: (703) 820-7239		Ms Jacqueline Leigh Tyler, LCSW
2504 Patrick St,
Vienna, VA 22180-6844

Ph: (703) 207-9136

Reviews and Comments


Social Worker in Vienna, VA

Brittany Lutz Estep, L.C.S.W
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 131 Park St Ne, Suite 8a, Vienna, VA 22180
Phone: 571-215-1653    
Brian Sheaffer,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 144 Church St Nw Ste 205, Vienna, VA 22180
Phone: 571-261-7764    
Miss Sarah Roberts, MSW
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Medicare: Not Enrolled in Medicare
Practice Location: 2110 Gallows Rd Ste D, Vienna, VA 22182
Phone: 703-592-4600    
Sandra L Moncrief-stuart, MA, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 133 Park St Ne, Vienna, VA 22180
Phone: 703-281-4928    
Rose Marie Mcintrye, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 133 Park St Ne, Vienna, VA 22180
Phone: 703-281-2657    
Sarah Hagen, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 129 Park St Ne Ste 10a, Vienna, VA 22180
Phone: 703-401-8571    
Mr. James Robert Lippold, LCSW-0904012388
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 115 Beulah Road, Ne, Suite 200-b, Vienna, VA 22180
Phone: 703-255-7012    Fax: 703-255-6171

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.