Terry D Taylor, DDS MS is a medicare enrolled "Oral & Maxillofacial Surgery" physician in Houston, Texas. His current practice location is
6560 Fannin St, Ste 614, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(713) 790-1995.
Terry D Taylor is licensed to practice in Texas (license number 13953) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891797130.
Physician's Profile
| Full Name | Terry D Taylor |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 6560 Fannin St, Houston, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891797130
- Provider Enumeration Date: 06/01/2005
- Last Update Date: 09/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 8527243567
- Enrollment ID: I20110506000207
Medical Identifiers
Medical identifiers for Terry D Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891797130 | NPI | - | NPPES |
| 135026604 | Other | TX | CIDC ID |
| 135026603 | Medicaid | TX | |
| D13953 | Other | TX | BCBS ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 204E00000X | Oral & Maxillofacial Surgery | 13953 (Texas) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13953 (Texas) | Secondary |
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. Terry D Taylor allows following entities to bill medicare on his behalf.
| Entity Name | Physicians Referral Service |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073574810
PECOS PAC ID: 7911801410
Enrollment ID: O20031125000953 |
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| Entity Name | Lighthouse Surgical Holdings PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477128395
PECOS PAC ID: 0244620599
Enrollment ID: O20211202000758 |
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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. Terry D 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 |
|---|
Terry D Taylor, DDS MS
6560 Fannin St, Ste 614,
Houston, TX 77030-2727
Ph: (713) 790-1995 | Terry D Taylor, DDS MS
6560 Fannin St, Ste 614,
Houston, TX 77030-2727
Ph: (713) 790-1995 |
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