Ms Jeanine Marie Tackla, APRN, MSN, A-GNP-C, - Medicare Nurse Practitioner in Decatur, TX

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Ms Jeanine Marie Tackla, APRN, MSN, A-GNP-C, is a medicare enrolled "Nurse Practitioner - Gerontology" in Decatur, Texas. Her current practice location is 800 Medical Center Dr Ste C, Decatur, Texas. You can reach out to her office (for appointments etc.) via phone at (940) 626-2110.

Ms Jeanine Marie Tackla is licensed to practice in Texas (license number 1114749) 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 1255612537.

Contact Information

Ms Jeanine Marie Tackla, APRN, MSN, A-GNP-C,
800 Medical Center Dr Ste C,
Decatur, TX 76234-3844
(940) 626-2110
(940) 626-2113

Map and Direction




Provider's Profile

Full NameMs Jeanine Marie Tackla
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location800 Medical Center Dr Ste C, Decatur, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255612537
  • Provider Enumeration Date: 08/31/2011
  • Last Update Date: 09/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163878786
  • Enrollment ID: I20231101003855

Medical Identifiers

Medical identifiers for Ms Jeanine Marie Tackla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255612537NPI-NPPES
041214374OtherILREGISTERED PROFESSIONAL NURSE
95094533OtherCAREGISTERED PROFESSIONAL NURSE
095692OtherCNOR, CRNFA
1114749OtherTXAPRN-CNP
915559OtherTXREGISTERED PROFESSIONAL NURSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WR0006XRegistered Nurse - Registered Nurse First Assistant 095692 (Illinois)Secondary
363LG0600XNurse Practitioner - Gerontology 1114749 (Texas)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 Jeanine Marie Tackla allows following entities to bill medicare on her behalf.
Entity NameChristine Holland, M.d., P. A.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962677740
PECOS PAC ID: 3779658190
Enrollment ID: O20080820000275

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 Jeanine Marie Tackla 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 Jeanine Marie Tackla, APRN, MSN, A-GNP-C,
8408 Fort Union Ct,
Ft Worth, TX 76137-5754

Ph: (847) 224-9722		Ms Jeanine Marie Tackla, APRN, MSN, A-GNP-C,
800 Medical Center Dr Ste C,
Decatur, TX 76234-3844

Ph: (940) 626-2110

Reviews and Comments


Nurse Practitioner Nurses in Decatur, TX

Kristen Michelle Clayton, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 800 Medical Center Dr Ste C, Decatur, TX 76234
Phone: 940-626-2110    Fax: 940-626-2113
Heather Nicole Stark, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2451 S. Fm, Suite 300, Decatur, TX 76234
Phone: 940-626-8008    
Anju Banjade Kharel,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1816 S Fm 51 Ste 1200, Decatur, TX 76234
Phone: 940-626-0052    Fax: 940-626-0122
Dr. Erin Price, DNP, APRN, AGPCNP, N
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1451 W Business 380, Decatur, TX 76234
Phone: 940-977-3319    
Heatherene Hughes Carlisle, MSN, CRNP, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 800 Medical Center Dr Ste C, Decatur, TX 76234
Phone: 409-626-2110    
Charles Edward Bell, APRN FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 609 Medical Center Dr, Decatur, TX 76234
Phone: 940-626-2430    Fax: 940-626-2431
Melissa Franklin, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2401 S Fm 51, Decatur, TX 76234
Phone: 940-627-8044    Fax: 940-627-8055

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.