Jennifer Nicole Taylor, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Spanishburg, West Virginia. Her current practice location is
435 Meatshop Road, Spanishburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 920-0024.
Jennifer Nicole Taylor is licensed to practice in West Virginia (license number 106871) 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 1851918494.
Provider's Profile
| Full Name | Jennifer Nicole Taylor |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 435 Meatshop Road, Spanishburg, West Virginia |
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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: 1851918494
- Provider Enumeration Date: 06/30/2020
- Last Update Date: 06/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 3779991518
- Enrollment ID: I20220408000189
Medical Identifiers
Medical identifiers for Jennifer Nicole Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851918494 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 106871 (West Virginia) | 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. Jennifer Nicole Taylor allows following entities to bill medicare on her behalf.
| Entity Name | Lively Pediatrics Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063006047
PECOS PAC ID: 1557779741
Enrollment ID: O20210428002340 |
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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. Jennifer Nicole 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 |
|---|
Jennifer Nicole Taylor, FNP-BC
Po Box 182,
Spanishburg, WV 25922-0182
Ph: (304) 920-0024 | Jennifer Nicole Taylor, FNP-BC
435 Meatshop Road,
Spanishburg, WV 25922
Ph: (304) 920-0024 |
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