Keith Anthony Taylor, is a
Case Manager/care Coordinator based in Diamond Springs, California. Keith Anthony Taylor is licensed to practice in * (Not Available) (license number ) and his current practice location is
768 Pleasant Valley Rd, Diamond Springs, California. He can be reached at his office (for appointments etc.) via phone at
(530) 621-6245.
NPI number for Keith Anthony Taylor is 1760606446 and his current mailing address is 1028 Sierra Blvd # 1, South Lake Tahoe, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760606446.
Healthcare Provider's Profile
| Full Name | Keith Anthony Taylor |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 768 Pleasant Valley Rd, Diamond Springs, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760606446
- Provider Enumeration Date: 04/12/2007
- Last Update Date: 06/28/2023
Medical Identifiers
Medical identifiers for Keith Anthony Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760606446 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Keith Anthony Taylor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Keith Anthony Taylor, 1028 Sierra Blvd # 1, South Lake Tahoe, CA 96150-2900 Ph: (530) 573-7800 | Keith Anthony Taylor, 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 Ph: (530) 621-6245 |
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