Mrs Shemeka Chandrae Taylor, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Southaven, Mississippi. Her current practice location is
2149 Stateline Rd W, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 342-1112.
Mrs Shemeka Chandrae Taylor is licensed to practice in Mississippi (license number 904461) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427642057.
Physician's Profile
| Full Name | Mrs Shemeka Chandrae Taylor |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2149 Stateline Rd W, Southaven, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427642057
- Provider Enumeration Date: 02/24/2021
- Last Update Date: 04/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698182525
- Enrollment ID: I20210322000672
Medical Identifiers
Medical identifiers for Mrs Shemeka Chandrae Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427642057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 904461 (Maine) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 904461 (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. Mrs Shemeka Chandrae Taylor allows following entities to bill medicare on her behalf.
| Entity Name | Midsouth Medicine |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194894147 PECOS PAC ID: 3971579400 Enrollment ID: O20040907000889 |
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| Entity Name | Signify Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802 |
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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. Mrs Shemeka Chandrae 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 |
Mrs Shemeka Chandrae Taylor, FNP-C 2149 Stateline Rd W, Southaven, MS 38671-1222 Ph: (662) 342-1112 | Mrs Shemeka Chandrae Taylor, FNP-C 2149 Stateline Rd W, Southaven, MS 38671-1222 Ph: (662) 342-1112 |
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