Ms Taylor Erin D'etcheverry, PA-C is a medicare enrolled "Physician Assistant" physician in Charleston, West Virginia. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Charleston Area Medical Center Inc and her current practice location is
3100 Maccorkle Ave Se Ste 101, Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 388-5395.
Ms Taylor Erin D'etcheverry is licensed to practice in Virginia (license number 0110009282) 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 1669943890.
Physician's Profile
| Full Name | Ms Taylor Erin D'etcheverry |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 3100 Maccorkle Ave Se Ste 101, Charleston, 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:
- Ms Taylor Erin D'etcheverry graduated from medical school in 2019
NPI Data:
- NPI Number: 1669943890
- Provider Enumeration Date: 12/16/2018
- Last Update Date: 08/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 1759713605
- Enrollment ID: I20191114000108
Medical Identifiers
Medical identifiers for Ms Taylor Erin D'etcheverry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669943890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0102X | Surgery - Surgical Critical Care | 2268 (West Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 0110009282 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Charleston Area Medical Center Inc | 3375441637 | 859 |
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. Ms Taylor Erin D'etcheverry 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 |
|---|
Ms Taylor Erin D'etcheverry, PA-C
3100 Maccorkle Ave Se Ste 101,
Charleston, WV 25304-1215
Ph: (304) 388-5395 | Ms Taylor Erin D'etcheverry, PA-C
3100 Maccorkle Ave Se Ste 101,
Charleston, WV 25304-1215
Ph: (304) 388-5395 |
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