Clinton Thayne Taylor, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Farmington, New Mexico. His current practice location is
1001 W Broadway Ste D, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 325-0238.
Clinton Thayne Taylor is licensed to practice in New Mexico (license number C-11047) 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 1780121046.
Healthcare Provider's Profile
| Full Name | Clinton Thayne Taylor |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1001 W Broadway Ste D, Farmington, New Mexico |
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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: 1780121046
- Provider Enumeration Date: 01/25/2017
- Last Update Date: 11/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 1052748431
- Enrollment ID: I20200225000287
Medical Identifiers
Medical identifiers for Clinton Thayne Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780121046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0176141 (New Mexico) | Secondary |
| 104100000X | Social Worker | M-09715 (New Mexico) | Secondary |
| 104100000X | Social Worker | X-11195 (New Mexico) | Secondary |
| 1041C0700X | Social Worker - Clinical | C-11047 (New Mexico) | 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. Clinton Thayne Taylor allows following entities to bill medicare on his behalf.
| Entity Name | Presbyterian Medical Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414 |
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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. Clinton Thayne 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 Address | Practice Location Address |
Clinton Thayne Taylor, LCSW 1001 W Broadway Ste D, Farmington, NM 87401-5638 Ph: (505) 325-0238 | Clinton Thayne Taylor, LCSW 1001 W Broadway Ste D, Farmington, NM 87401-5638 Ph: (505) 325-0238 |
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