Jaclyn Tara Delauretis, PA-C is a medicare enrolled "Physician Assistant" in Millville, Pennsylvania. Her current practice location is
515 Jerseytown Rd, Millville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 458-5597.
Jaclyn Tara Delauretis is licensed to practice in Pennsylvania (license number MA057228) 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 1518355270.
Provider's Profile
Full Name | Jaclyn Tara Delauretis |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 515 Jerseytown Rd, Millville, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518355270
- Provider Enumeration Date: 01/05/2015
- Last Update Date: 01/05/2015
Medicare PECOS Information:
- PECOS PAC ID: 6204152325
- Enrollment ID: I20150309002310
Medical Identifiers
Medical identifiers for Jaclyn Tara Delauretis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518355270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | MA057228 (Pennsylvania) | Primary |
363A00000X | Physician Assistant | OA003421 (Pennsylvania) | Secondary |
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. Jaclyn Tara Delauretis 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 |
Jaclyn Tara Delauretis, PA-C 100 N Academy Ave, Danville, PA 17822-9800 Ph: (570) 271-6144 | Jaclyn Tara Delauretis, PA-C 515 Jerseytown Rd, Millville, PA 17846-8825 Ph: (570) 458-5597 |
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