Taylor A Mallicoat, in Morgantown, WV

Taylor A Mallicoat, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Morgantown, West Virginia. Her current practice location is 1 Medical Center Dr, Morgantown, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 598-4000.

Taylor A Mallicoat is licensed to practice in West Virginia (license number 4611) 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 1316502149.

Contact Information

	Taylor A Mallicoat,
	1 Medical Center Dr, Morgantown, WV 26506-1200
	(304) 598-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Taylor A Mallicoat
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	1 Medical Center Dr, Morgantown, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316502149
Provider Enumeration Date: 05/07/2019
Last Update Date: 08/26/2025

Medicare PECOS Information:

PECOS PAC ID: 0941538649
Enrollment ID: I20240618004254

Medical Identifiers

Medical identifiers for Taylor A Mallicoat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316502149	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	4611 (West Virginia)	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. Taylor A Mallicoat allows following entities to bill medicare on her behalf.

Entity Name	Blue Ridge Radiology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881687689 PECOS PAC ID: 7416860473 Enrollment ID: O20031106000638

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 A Mallicoat 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
Taylor A Mallicoat, Po Box 780, Morgantown, WV 26507-0780 Ph: (304) 598-4000	Taylor A Mallicoat, 1 Medical Center Dr, Morgantown, WV 26506-1200 Ph: (304) 598-4000

Reviews and Comments

Radiology Doctors in Morgantown, WV

Mike Lee, MD, MS, BS Radiology Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4051
Robert Grammer, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000
Brian Markovich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-293-3091
Mr. Ashwin Pramod Deshmukh, MBBS Radiology Medicare: Not Enrolled in Medicare Practice Location: Po Box 9235, Morgantown, WV 26506 Phone: 304-293-3091
Justin Addicks, Radiology Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 855-988-2273
Mithra Kimyai-asadi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Stadium Dr, Morgantown, WV 26506 Phone: 304-293-2463
Dr. Gary D Marano, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Stadium Dr, Morgantown, WV 26506 Phone: 304-598-4000 Fax: 304-293-6963

Taylor A Mallicoat, - Medicare Radiology in Morgantown, WV