Stephanie Dianna Tyell Burton, in Camden, NJ - Medicare Nurse Practitioner

Stephanie Dianna Tyell Burton, is a medicare enrolled "Nurse Practitioner - Acute Care" in Camden, New Jersey. Her current practice location is 1 Cooper Plz, Camden, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 342-3150.

Stephanie Dianna Tyell Burton is licensed to practice in Pennsylvania (license number SP026749) 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 1750094397.

Contact Information

	Stephanie Dianna Tyell Burton,
	1 Cooper Plz, Camden, NJ 08103-1461
	(856) 342-3150
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Dianna Tyell Burton
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1 Cooper Plz, Camden, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750094397
Provider Enumeration Date: 12/28/2022
Last Update Date: 11/29/2023

Medicare PECOS Information:

PECOS PAC ID: 2365730900
Enrollment ID: I20230629002416

Medical Identifiers

Medical identifiers for Stephanie Dianna Tyell Burton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750094397	NPI	-	NPPES
SP026749	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	26NJ01471900 (New Jersey)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	SP026749 (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. Stephanie Dianna Tyell Burton allows following entities to bill medicare on her behalf.

Entity Name	Cooper Physician Offices Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154369510 PECOS PAC ID: 2860396611 Enrollment ID: O20031122000067

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. Stephanie Dianna Tyell Burton 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
Stephanie Dianna Tyell Burton, 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (848) 288-6935	Stephanie Dianna Tyell Burton, 1 Cooper Plz, Camden, NJ 08103-1461 Ph: (856) 342-3150

Reviews and Comments

Nurse Practitioner Nurses in Camden, NJ

Susan Paglione, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 817 Federal Street, Camden, NJ 08103 Phone: 856-541-9811 Fax: 856-225-1678
Katharine R Hommes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Cooper Plz, Suite 411, Camden, NJ 08103 Phone: 856-963-3577 Fax: 856-968-8457
Hammad Malik, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-3150
Dr. Tanya Monique Bronzell-wynder, DNP, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 433 N 7th St Fl 1, Camden, NJ 08102 Phone: 856-288-9115 Fax: 856-379-4286
Dr. Frances Ward, PHD, RN, APN,C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 538 S Broadway, Camden, NJ 08103 Phone: 856-541-1752 Fax: 856-566-6203
Debbie Orr, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2625
Elizabeth Bemah, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Federal St, Camden, NJ 08103 Phone: 215-694-9670

Stephanie Dianna Tyell Burton, - Medicare Nurse Practitioner in Camden, NJ