| Kaitlin Laura-bennett Taylor, PA-C | |
|
2525 S 135th Ave, Omaha, NE 68144-2424 | |
| (702) 899-0595 | |
| (702) 977-1496 |
| Full Name | Kaitlin Laura-bennett Taylor |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2525 S 135th Ave, Omaha, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801375654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2945 (Nebraska) | Primary |
| Entity Name | Integrated Rehab Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20210526000563 |
| Entity Name | BC Healthcare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003495359 PECOS PAC ID: 6507260270 Enrollment ID: O20210803003418 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlin Laura-bennett Taylor, PA-C Po Box 74008272, Chicago, IL 60674-8272 Ph: (702) 899-0595 | Kaitlin Laura-bennett Taylor, PA-C 2525 S 135th Ave, Omaha, NE 68144-2424 Ph: (702) 899-0595 |
Neil C Jouvenat Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4242 Farnam St Ste 650, Omaha, NE 68131 Phone: 402-559-8600 |
Mr. Marty Paul Ussery Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 N 162nd Ave Ste 300, Omaha, NE 68118 Phone: 402-354-1200 Fax: 402-354-1205 |
Dominique Merle Mack, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1813 N 73rd St, Omaha, NE 68114 Phone: 402-991-5070 |
Mayle Owen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16901 Lakeside Hills Ct, Omaha, NE 68130 Phone: 855-524-4001 Fax: 402-717-7340 |
Abigail Marie Frick, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7710 Mercy Rd, Omaha, NE 68124 Phone: 402-417-0528 |
Jennifer M Vaughn, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 601 N 30th St, Omaha, NE 68131 Phone: 402-449-4590 |
Karen R Schrader, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4015 Fax: 402-559-8715 |