Dr Taylor Grace Tackett, DOCTOR OF OPTOMETRY in Russellville, AL

Dr Taylor Grace Tackett, DOCTOR OF OPTOMETRY is a medicare enrolled "Optometrist" provider in Russellville, Alabama. Her current practice location is 14378 Highway 43, Russellville, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 332-1355.

Dr Taylor Grace Tackett is licensed to practice in Alabama (license number S-F21) 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 1003508797.

Contact Information

	Dr Taylor Grace Tackett, DOCTOR OF OPTOMETRY
	14378 Highway 43, Russellville, AL 35653-2568
	(256) 332-1355
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Taylor Grace Tackett
Gender	Female
Speciality	Optometrist
Location	14378 Highway 43, Russellville, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003508797
Provider Enumeration Date: 05/22/2023
Last Update Date: 06/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8729449392
Enrollment ID: I20230728001540

Medical Identifiers

Medical identifiers for Dr Taylor Grace Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003508797	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	S-F21 (Alabama)	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. Dr Taylor Grace Tackett allows following entities to bill medicare on her behalf.

Provider Name	Campbell Vision Center, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649371550 PECOS PAC ID: 6608876495 Enrollment ID: O20061229000091

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. Dr Taylor Grace Tackett 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
Dr Taylor Grace Tackett, DOCTOR OF OPTOMETRY 7087 Highway 524, Russellville, AL 35653-6552 Ph: (256) 460-5793	Dr Taylor Grace Tackett, DOCTOR OF OPTOMETRY 14378 Highway 43, Russellville, AL 35653-2568 Ph: (256) 332-1355

Reviews and Comments

Optometrist in Russellville, AL

Dr. Wayne B Stevens, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15255 Highway 43, Russellville, AL 35653 Phone: 256-332-5440 Fax: 256-332-5402
Love Your Eyes, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15255 Highway 43, Russellville, AL 35653 Phone: 205-238-4466
Health Care For Life Al, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 523 Gandy St Ne, Ste A, Russellville, AL 35653 Phone: 205-208-9955 Fax: 256-332-5403
David W Mcgee, OD Optometrist Medicare: Medicare Enrolled Practice Location: 13675 Hwy 43 South, Russellville, AL 35653 Phone: 256-332-1712 Fax: 256-332-1713
Eyedocs On Wheels Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15255 Hwy 43, Russellville, AL 35653 Phone: 256-332-5440 Fax: 256-332-5402
Dr. Sidney Greenberg, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 523 Gandy St Ne, Ste. A, Russellville, AL 35653 Phone: 205-208-9955 Fax: 888-561-0756

Dr Taylor Grace Tackett, DOCTOR OF OPTOMETRY - Medicare Optometrist in Russellville, AL