Doris Susan Taylor, CRNA - Medicare Nurse Anesthetist, Certified Registered in Southport, NC

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Doris Susan Taylor, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Southport, North Carolina. Her current practice location is 4956 Long Beach Rd Se Ste 14, Pmb 135, Southport, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 278-1516.

Doris Susan Taylor is licensed to practice in South Carolina (license number 939) 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 1295798049.

Contact Information

Doris Susan Taylor, CRNA
4956 Long Beach Rd Se Ste 14, Pmb 135,
Southport, NC 28461-9127
(910) 278-1516
Not Available

Map and Direction




Provider's Profile

Full NameDoris Susan Taylor
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location4956 Long Beach Rd Se Ste 14, Southport, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295798049
  • Provider Enumeration Date: 04/11/2006
  • Last Update Date: 07/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7416914353
  • Enrollment ID: I20041221000425

Medical Identifiers

Medical identifiers for Doris Susan Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295798049NPI-NPPES
AN1081MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1866 (North Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered 939 (South Carolina)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. Doris Susan Taylor allows following entities to bill medicare on her behalf.
Entity NameMedstream Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20140304001021
Entity NamePrisma Health Tuomey
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548625593
PECOS PAC ID: 2163728528
Enrollment ID: O20160310001016

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. Doris Susan 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 AddressPractice Location Address
Doris Susan Taylor, CRNA
4956 Long Beach Rd Se Ste 14, Pmb 135,
Southport, NC 28461-9127

Ph: (910) 278-1516		Doris Susan Taylor, CRNA
4956 Long Beach Rd Se Ste 14, Pmb 135,
Southport, NC 28461-9127

Ph: (910) 278-1516

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Southport, NC

Holly Metzerott, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 116 W West St, Southport, NC 28461
Phone: 704-576-4476    
Barry Dean Amerson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 723 Skipjack Cir, Southport, NC 28461
Phone: 910-358-4275    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.