Jacqueline Grace Mitcheltree, CRNP in Harrisburg, PA

Jacqueline Grace Mitcheltree, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Harrisburg, Pennsylvania. Her current practice location is 111 S Front St, Harrisburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 231-8772.

Jacqueline Grace Mitcheltree is licensed to practice in Pennsylvania (license number SP028971) 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 1083480578.

Contact Information

	Jacqueline Grace Mitcheltree, CRNP
	111 S Front St, Harrisburg, PA 17101-2010
	(717) 231-8772
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Grace Mitcheltree
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	111 S Front St, Harrisburg, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083480578
Provider Enumeration Date: 11/27/2023
Last Update Date: 06/11/2024

Medicare PECOS Information:

PECOS PAC ID: 6305283714
Enrollment ID: I20240321000353

Medical Identifiers

Medical identifiers for Jacqueline Grace Mitcheltree such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083480578	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	707775 (Pennsylvania)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	SP028971 (Pennsylvania)	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. Jacqueline Grace Mitcheltree allows following entities to bill medicare on her behalf.

Entity Name	Pinnacle Health Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180

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. Jacqueline Grace Mitcheltree 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
Jacqueline Grace Mitcheltree, CRNP 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 231-8772	Jacqueline Grace Mitcheltree, CRNP 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 231-8772

Reviews and Comments

Nurse Practitioner Nurses in Harrisburg, PA

Mrs. Elena Yurievna Nebrat, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 South Front Street, 4th Floor, Bma, Harrisburg, PA 17104 Phone: 717-231-8555 Fax: 717-231-8568
Jonelle R Derk, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3380 Fax: 717-782-5716
Yanxia Wang, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 South Front Street, 6th Floor Bma, Harrisburg, PA 17104 Phone: 717-988-9370 Fax: 717-703-0154
Justin Rogers, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3131
Irene Nkem, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2192 Versailles Dr, Harrisburg, PA 17112 Phone: 312-401-6646
Kathleen Yesavage, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109 Phone: 717-724-6780 Fax: 717-724-6781
Janie Cozzoli, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 Sir Thomas Ct, Harrisburg, PA 17109 Phone: 717-652-9555 Fax: 717-791-2621

Jacqueline Grace Mitcheltree, CRNP - Medicare Nurse Practitioner in Harrisburg, PA