Taylor Michael Bosley, DO is a medicare enrolled "Emergency Medicine" physician in Southern Pines, North Carolina. His current practice location is
1271 Old Us 1 Hwy, Southern Pines, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 638-5554.
Taylor Michael Bosley is licensed to practice in North Carolina (license number 2022-01171) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831658764.
Physician's Profile
Full Name | Taylor Michael Bosley |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 1271 Old Us 1 Hwy, Southern Pines, North Carolina |
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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: 1831658764
- Provider Enumeration Date: 03/19/2019
- Last Update Date: 02/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779963020
- Enrollment ID: I20220705002672
Medical Identifiers
Medical identifiers for Taylor Michael Bosley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831658764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 2022-01171 (North Carolina) | 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. Taylor Michael Bosley allows following entities to bill medicare on his behalf.
Entity Name | Sandhills Emergency Physicians Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003853409 PECOS PAC ID: 8729062609 Enrollment ID: O20040617000371 |
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Entity Name | Emergency Coverage Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365 |
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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. Taylor Michael Bosley 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 |
Taylor Michael Bosley, DO 110 Belfair Ct, Southern Pines, NC 28387-3054 Ph: (727) 455-8438 | Taylor Michael Bosley, DO 1271 Old Us 1 Hwy, Southern Pines, NC 28387-6308 Ph: (910) 638-5554 |
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