Dr Walter T Taylor Jr, MD in Grenada, MS

Dr Walter T Taylor Jr, MD is a medicare enrolled "Anesthesiology" physician in Grenada, Mississippi. His current practice location is 960 Avent Dr, Grenada, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 227-1166.

Dr Walter T Taylor Jr is licensed to practice in Mississippi (license number 11788) 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 1447213509.

Contact Information

	Dr Walter T Taylor Jr, MD
	960 Avent Dr, Grenada, MS 38901-5230
	(662) 227-1166
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Walter T Taylor Jr
Gender	Male
Speciality	Anesthesiology
Location	960 Avent Dr, Grenada, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447213509
Provider Enumeration Date: 04/10/2006
Last Update Date: 08/05/2009

Medicare PECOS Information:

PECOS PAC ID: 2163589789
Enrollment ID: I20090326000400

Medical Identifiers

Medical identifiers for Dr Walter T Taylor Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447213509	NPI	-	NPPES
00017454	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	11788 (Mississippi)	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. Dr Walter T Taylor Jr allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Consultants Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750300836 PECOS PAC ID: 4486637881 Enrollment ID: O20040608000711

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. Dr Walter T Taylor Jr 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
Dr Walter T Taylor Jr, MD Po Box 235019, Montgomery, AL 36123-5019 Ph: (334) 279-1450	Dr Walter T Taylor Jr, MD 960 Avent Dr, Grenada, MS 38901-5230 Ph: (662) 227-1166

Dr Walter T Taylor Jr, MD - Medicare Anesthesiology in Grenada, MS