Kenneth James Taylor, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pocatello, Idaho. His current practice location is
707 N 7th Ave, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 242-3044.
Kenneth James Taylor is licensed to practice in Idaho (license number LCSW-42204) 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 1528565488.
Healthcare Provider's Profile
| Full Name | Kenneth James Taylor |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 707 N 7th Ave, Pocatello, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528565488
- Provider Enumeration Date: 04/08/2018
- Last Update Date: 06/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618390857
- Enrollment ID: I20220723000076
Medical Identifiers
Medical identifiers for Kenneth James Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528565488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10046 (Idaho) | Secondary |
| 104100000X | Social Worker | 37236 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-42204 (Idaho) | 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. Kenneth James Taylor allows following entities to bill medicare on his behalf.
| Entity Name | Cognitive Restructuring Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255971024
PECOS PAC ID: 9830510890
Enrollment ID: O20200528003064 |
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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. Kenneth James 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 |
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Kenneth James Taylor, LCSW
707 N 7th Ave Ste D,
Pocatello, ID 83201-5796
Ph: (208) 242-3044 | Kenneth James Taylor, LCSW
707 N 7th Ave,
Pocatello, ID 83201-5785
Ph: (208) 242-3044 |
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