Taylor Conroy Nottke, DO in Stillwater, MN

Taylor Conroy Nottke, DO is a medicare enrolled "Pediatrics" physician in Stillwater, Minnesota. Her current practice location is 1500 Curve Crest Blvd W, Stillwater, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 439-1234.

Taylor Conroy Nottke is licensed to practice in Minnesota (license number 73652) 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 1205458874.

Contact Information

	Taylor Conroy Nottke, DO
	1500 Curve Crest Blvd W, Stillwater, MN 55082-6040
	(651) 439-1234
	Not Available

Map and Direction

Physician's Profile

Full Name	Taylor Conroy Nottke
Gender	Female
Speciality	Pediatrics
Location	1500 Curve Crest Blvd W, Stillwater, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205458874
Provider Enumeration Date: 05/17/2020
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 3476978446
Enrollment ID: I20230920001886

Medical Identifiers

Medical identifiers for Taylor Conroy Nottke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205458874	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	81136-21 (Wisconsin)	Secondary
208000000X	Pediatrics	73652 (Minnesota)	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 Conroy Nottke allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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 Conroy Nottke 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 Conroy Nottke, DO 1964 62nd St, Somerset, WI 54025-6926 Ph: (612) 345-2899	Taylor Conroy Nottke, DO 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 Ph: (651) 439-1234

Reviews and Comments

Pediatrics Doctors in Stillwater, MN

Dr. Stephen Mark Scallon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-439-1547
Dr. Danielle Marie Deanovich, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-702-1234 Fax: 651-275-3325
Mollie Katherine Malaney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234
Jessica Lee Najarian-bell, Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-275-3325
Kathryn M.. Salvatore, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234
Dr. Karla J Hansen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-439-1547

Taylor Conroy Nottke, DO - Medicare Pediatrics in Stillwater, MN