Mrs Tia Angelique Blystone, CRNP is a medicare enrolled "Nurse Practitioner - Family" in New Alexandria, Pennsylvania. Her current practice location is
134 Newhouse Rd, New Alexandria, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 691-1169.
Mrs Tia Angelique Blystone is licensed to practice in Pennsylvania (license number SP031129) 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 1710701560.
Provider's Profile
Full Name | Mrs Tia Angelique Blystone |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 134 Newhouse Rd, New Alexandria, 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: 1710701560
- Provider Enumeration Date: 11/08/2024
- Last Update Date: 11/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870029093
- Enrollment ID: I20241211003856
Medical Identifiers
Medical identifiers for Mrs Tia Angelique Blystone such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710701560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | SP031129 (Pennsylvania) | Primary |
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. Mrs Tia Angelique Blystone 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 |
Mrs Tia Angelique Blystone, CRNP 134 Newhouse Rd, New Alexandria, PA 15670-2584 Ph: (724) 691-1169 | Mrs Tia Angelique Blystone, CRNP 134 Newhouse Rd, New Alexandria, PA 15670-2584 Ph: (724) 691-1169 |
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