Mr Terrahl Del Taylor, MSW, LISW-S, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Ohio. He graduated from healthcare school in 2016 and has 9 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Southeast Inc and his current practice location is
16 W Long St, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 225-0990.
Mr Terrahl Del Taylor is licensed to practice in Ohio (license number I.1801014-SUPV) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689189102.
Healthcare Provider's Profile
| Full Name | Mr Terrahl Del Taylor |
|---|
| Gender | Male |
|---|
| Speciality | Mental Health Counselor |
|---|
| Experience | 9 Years |
|---|
| Location | 16 W Long St, Columbus, Ohio |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mr Terrahl Del Taylor graduated from medical school in 2016
NPI Data:
- NPI Number: 1689189102
- Provider Enumeration Date: 12/06/2017
- Last Update Date: 10/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 4587196605
- Enrollment ID: I20241015000471
Medical Identifiers
Medical identifiers for Mr Terrahl Del Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689189102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161758 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1801014-SUPV (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southeast Inc | 8426014853 | 33 |
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. Mr Terrahl Del Taylor allows following entities to bill medicare on his behalf.
| Entity Name | Southeast Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1932169497
PECOS PAC ID: 8426014853
Enrollment ID: O20041207000632 |
|---|
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. Mr Terrahl Del 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 |
|---|
Mr Terrahl Del Taylor, MSW, LISW-S, LICDC
16 W Long St,
Columbus, OH 43215-2815
Ph: (614) 225-0990 | Mr Terrahl Del Taylor, MSW, LISW-S, LICDC
16 W Long St,
Columbus, OH 43215-2815
Ph: (614) 225-0990 |
Reviews and Comments