Taylor Blade, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Jacksonville, Florida. Her current practice location is
50 Duval Station Rd, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(866) 389-2727.
Taylor Blade is licensed to practice in Florida (license number 11020881) 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 1609594902.
Physician's Profile
| Full Name | Taylor Blade |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 50 Duval Station Rd, Jacksonville, Florida |
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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: 1609594902
- Provider Enumeration Date: 08/22/2022
- Last Update Date: 10/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 3375929870
- Enrollment ID: I20221006003205
Medical Identifiers
Medical identifiers for Taylor Blade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609594902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 11020881 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11020881 (Florida) | 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 Blade allows following entities to bill medicare on her behalf.
| Entity Name | Minuteclinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20070217000007 |
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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 Blade 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 Blade, APRN 50 Duval Station Rd, Jacksonville, FL 32218-6801 Ph: (866) 389-2727 | Taylor Blade, APRN 50 Duval Station Rd, Jacksonville, FL 32218-6801 Ph: (866) 389-2727 |
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