| Elijah Taylor, PA | |
|
200 Providence Hwy Ste 202-203, Dedham, MA 02026-1881 | |
| (781) 326-1464 | |
| Not Available |
| Full Name | Elijah Taylor |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 200 Providence Hwy Ste 202-203, Dedham, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851038376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA8764 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Umass Memorial Health-milford Regional Medical Ctr | Milford, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Milford Regional Physician Group, Inc. | 5597679449 | 219 |
| Umass Memorial Medical Group Inc | 4284539891 | 2494 |
| Massachusetts General Physicians Organization Inc | 2466365820 | 3494 |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | Umass Memorial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Entity Name | Milford Regional Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902856024 PECOS PAC ID: 5597679449 Enrollment ID: O20040503001341 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Elijah Taylor, PA 200 Providence Hwy Ste 202-203, Dedham, MA 02026-1881 Ph: (781) 326-1464 | Elijah Taylor, PA 200 Providence Hwy Ste 202-203, Dedham, MA 02026-1881 Ph: (781) 326-1464 |
Daniel Jooyeol Gold, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 983 Boston-providence Turnpike, Dedham, MA 02026 Phone: 781-819-6400 |
Emilee Marie Wilson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 173 Jefferson St, Dedham, MA 02026 Phone: 617-894-7337 |
Vicky Kim Nguyen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 588 Providence Hwy, Dedham, MA 02026 Phone: 781-708-9299 |
Ms. Jacquelyn Elise Pennie, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Lyons St, Dedham, MA 02026 Phone: 508-880-0012 |
Cassidy Ann Repetto, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 140 Trenton Rd, Dedham, MA 02026 Phone: 781-686-2755 |
Kimberly King, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Lyons St, Dedham, MA 02026 Phone: 617-877-9174 |
Hayley Elisabeth Bukow, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Lyons St, Dedham, MA 02026 Phone: 781-493-3700 |