Taylor Nichole Overholt, is a medicare enrolled "Counselor - Professional" provider in Glen Dale, West Virginia. She went to West Virginia University School Of Medicine and graduated in 2020 and has 5 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Grandw Inc and her current practice location is
608 Jefferson Ave, Glen Dale, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 238-8579.
Taylor Nichole Overholt is licensed to practice in West Virginia (license number 2908) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700659208.
Healthcare Provider's Profile
| Full Name | Taylor Nichole Overholt |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 5 Years |
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| Location | 608 Jefferson Ave, Glen Dale, West Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Taylor Nichole Overholt attended and graduated from West Virginia University School Of Medicine in 2020
NPI Data:
- NPI Number: 1700659208
- Provider Enumeration Date: 11/06/2023
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133660905
- Enrollment ID: I20240919002839
Medical Identifiers
Medical identifiers for Taylor Nichole Overholt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700659208 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 2908 (West Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Grandw Inc | 9739324922 | 62 |
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. Taylor Nichole Overholt allows following entities to bill medicare on her behalf.
| Entity Name | Gr&w Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407192024
PECOS PAC ID: 9739324922
Enrollment ID: O20130315000456 |
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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. Taylor Nichole Overholt 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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Taylor Nichole Overholt,
608 Jefferson Ave,
Glen Dale, WV 26038-1326
Ph: (304) 238-8579 | Taylor Nichole Overholt,
608 Jefferson Ave,
Glen Dale, WV 26038-1326
Ph: (304) 238-8579 |
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