Baylor Scott & White Medical Center - Taylor - Medicare in Taylor, TX

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Baylor Scott & White Medical Center - Taylor is a medicare enrolled "Nurse Practitioner" provider in Taylor, Texas. Their current practice location is 305 Mallard Ln, Taylor, Texas. You can reach out to their office (for appointments etc.) via phone at (512) 352-7611.

Baylor Scott & White Medical Center - Taylor is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Baylor Scott & White Medical Center - Taylor is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1659548568.

Contact Information

Baylor Scott & White Medical Center - Taylor
305 Mallard Ln,
Taylor, TX 76574-1208
(512) 352-7611
(512) 352-4734

Map and Direction




Healthcare Provider's Profile

Full NameBaylor Scott & White Medical Center - Taylor
TypeFacility
SpecialityNurse Practitioner
Location305 Mallard Ln, Taylor, Texas
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659548568
  • Provider Enumeration Date: 05/09/2008
  • Last Update Date: 09/10/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1456246750
  • Enrollment ID: O20040217000059

Medical Identifiers

Medical identifiers for Baylor Scott & White Medical Center - Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659548568NPI-NPPES
136327711MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (Texas)Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Primary
367500000XNurse Anesthetist, Certified Registered (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Baylor Scott & White Medical Center - Taylor acts as a billing entity for following providers:
Provider NameDean Edward Schanen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1629020136
PECOS PAC ID: 3779561600
Enrollment ID: I20040708000762
Provider NameRose Marie Haisler
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1487642419
PECOS PAC ID: 9638167356
Enrollment ID: I20041108000510
Provider NameScott A Nicklebur
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740233600
PECOS PAC ID: 8325096308
Enrollment ID: I20050106000278
Provider NameJodi G Wieters
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1285696526
PECOS PAC ID: 7810948999
Enrollment ID: I20050207000172
Provider NameWilliam R Tobleman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1538121231
PECOS PAC ID: 9537110259
Enrollment ID: I20050209000912
Provider NameLarry Ray Mckinney
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1487637138
PECOS PAC ID: 6800854902
Enrollment ID: I20050718000521
Provider NameMichael W Maxwell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1588659429
PECOS PAC ID: 5597795716
Enrollment ID: I20050817000809
Provider NameSherry J Luken
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1821006875
PECOS PAC ID: 0446269211
Enrollment ID: I20060406000546
Provider NameSamuel A Nicholson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1598779316
PECOS PAC ID: 3274532445
Enrollment ID: I20061216000024
Provider NameSummer L Lawlis
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1669574448
PECOS PAC ID: 2264538388
Enrollment ID: I20070507000644
Provider NameGerardo Jose Pineiro
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700886470
PECOS PAC ID: 9234110453
Enrollment ID: I20081016000527
Provider NameBrandon Alban Browne
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1922284777
PECOS PAC ID: 4688734825
Enrollment ID: I20081118000764
Provider NameEdward Young Lee
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912940867
PECOS PAC ID: 2668439241
Enrollment ID: I20090116000045
Provider NamePaul K Basak
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972799864
PECOS PAC ID: 4183706138
Enrollment ID: I20090227000482
Provider NameDorman L Parker
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1235310251
PECOS PAC ID: 9638251317
Enrollment ID: I20090319000104
Provider NameJudith Crowley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1689661993
PECOS PAC ID: 5193721488
Enrollment ID: I20090527000140
Provider NameAnthony H James
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1477711208
PECOS PAC ID: 0941350250
Enrollment ID: I20090608000597
Provider NameDelaine P Mueller
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366475261
PECOS PAC ID: 7315020500
Enrollment ID: I20090727000799
Provider NameAndrew L Juergens
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1689832875
PECOS PAC ID: 7113068743
Enrollment ID: I20100105000393
Provider NameRobert D Greenberg
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1023078722
PECOS PAC ID: 1658415500
Enrollment ID: I20100216000906
Provider NamePeter J Richerson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1114174117
PECOS PAC ID: 8426174632
Enrollment ID: I20100924001034
Provider NameRyan P Morrissey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1619136348
PECOS PAC ID: 1052441607
Enrollment ID: I20101007000120
Provider NameDavid W Kaylor
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1215142914
PECOS PAC ID: 9133311269
Enrollment ID: I20101007001180
Provider NameTaylor K Ratcliff
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1215171996
PECOS PAC ID: 8527249069
Enrollment ID: I20110216001082
Provider NameJared Kennedy
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1598908071
PECOS PAC ID: 0345423455
Enrollment ID: I20110328000666
Provider NameShawn D Horrall
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1245387059
PECOS PAC ID: 0547331449
Enrollment ID: I20111121000680
Provider NameClifford Buckley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1376869040
PECOS PAC ID: 1557515780
Enrollment ID: I20130215000390
Provider NameJoshua Houser
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1659647832
PECOS PAC ID: 2163659368
Enrollment ID: I20131214000014
Provider NameJana Lee
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1407886906
PECOS PAC ID: 2668506163
Enrollment ID: I20140408001593
Provider NameRobert E Schmitt
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1396181285
PECOS PAC ID: 9739404989
Enrollment ID: I20150210000515
Provider NameMatthew Weigand
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861710220
PECOS PAC ID: 9335371822
Enrollment ID: I20150714001436
Provider NameKenneth Corley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1578846655
PECOS PAC ID: 5698909760
Enrollment ID: I20150831000609
Provider NameMichael D Benham
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1285044651
PECOS PAC ID: 4284936295
Enrollment ID: I20160107002942
Provider NameJia Wen Chang
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699113274
PECOS PAC ID: 6002105145
Enrollment ID: I20160617001359
Provider NameOrlando Rivera
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1629349725
PECOS PAC ID: 6204129034
Enrollment ID: I20160801001437
Provider NameJason A Jacque
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1255678975
PECOS PAC ID: 9739472523
Enrollment ID: I20160802000502
Provider NameAnthony Dumpit
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1447462874
PECOS PAC ID: 6305905316
Enrollment ID: I20160921001700
Provider NameMargaret Vo
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831431097
PECOS PAC ID: 6709167521
Enrollment ID: I20170110000017
Provider NameVioleta Maier
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1053849729
PECOS PAC ID: 4082985924
Enrollment ID: I20170810001575
Provider NameEric D Beal
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1649618489
PECOS PAC ID: 6002194123
Enrollment ID: I20170829001866
Provider NameTania V Kirk
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548649049
PECOS PAC ID: 7618240086
Enrollment ID: I20170906002869
Provider NameCaitlin O Connor
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023407475
PECOS PAC ID: 9537484597
Enrollment ID: I20171009001883
Provider NameLuke A Friebertshauser
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992188528
PECOS PAC ID: 6406112606
Enrollment ID: I20171103000959
Provider NameMichael James Banyasz
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1619160322
PECOS PAC ID: 5294805529
Enrollment ID: I20180509002366
Provider NameKyle J Halle
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1578946398
PECOS PAC ID: 0840571162
Enrollment ID: I20180626000351
Provider NameJames Porter Mcdonough
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124407606
PECOS PAC ID: 3072893635
Enrollment ID: I20180917000489
Provider NameJessica A Preedy
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346533726
PECOS PAC ID: 8921346164
Enrollment ID: I20190213000684
Provider NameChristopher L Wallace
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1033599790
PECOS PAC ID: 2466766928
Enrollment ID: I20190530002688
Provider NameStefan Jensen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740635101
PECOS PAC ID: 8224320080
Enrollment ID: I20190610001065
Provider NameJaismeen Nijjar
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1073969978
PECOS PAC ID: 0840584017
Enrollment ID: I20190619002107
Provider NameCelia Escamilla
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861848202
PECOS PAC ID: 0547553240
Enrollment ID: I20190626000065
Provider NameGabriel Ochoa
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1952755167
PECOS PAC ID: 9537451380
Enrollment ID: I20190916000527
Provider NameChristine A Mancheski
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497289532
PECOS PAC ID: 9830522739
Enrollment ID: I20191206002174
Provider NameCatherine Yaggi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1275995326
PECOS PAC ID: 5890125116
Enrollment ID: I20200428000786
Provider NameSabrina Merchant
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1598923534
PECOS PAC ID: 9032385927
Enrollment ID: I20200508001292
Provider NameNora J Demchur
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1194222331
PECOS PAC ID: 7618387507
Enrollment ID: I20201104001313
Provider NameBertin Denova
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811493380
PECOS PAC ID: 6507278470
Enrollment ID: I20201217001322
Provider NameMichael K Wilson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700306834
PECOS PAC ID: 8325379696
Enrollment ID: I20210429000357
Provider NameStephen R Ramaley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1922363563
PECOS PAC ID: 5799070017
Enrollment ID: I20210901002112
Provider NameRama Heyratifar
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1962962936
PECOS PAC ID: 1153655121
Enrollment ID: I20210928001636
Provider NameLarrite Debaptist Reed
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1164059937
PECOS PAC ID: 8527499391
Enrollment ID: I20220120000185
Provider NameJin Hyuck Choi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1447783162
PECOS PAC ID: 5496178493
Enrollment ID: I20220321000651
Provider NameBrian Daniel Albert
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780241638
PECOS PAC ID: 5092193540
Enrollment ID: I20220613000387
Provider NameDerek Herkes
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1962909887
PECOS PAC ID: 9537564927
Enrollment ID: I20220722002291
Provider NameMushtaba Yuridullah
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1306307939
PECOS PAC ID: 8325376940
Enrollment ID: I20230628001618

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. Baylor Scott & White Medical Center - Taylor 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
Baylor Scott & White Medical Center - Taylor
Po Box 844658,
Dallas, TX 75284-4658

Ph: () -		Baylor Scott & White Medical Center - Taylor
305 Mallard Ln,
Taylor, TX 76574-1208

Ph: (512) 352-7611

Reviews and Comments



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.