| Matthew Christopher Taylor, PAC | |
|
5450 Fort St, Emergency Dept, Trenton, MI 48183-4601 | |
| (734) 671-3883 | |
| (734) 467-5500 |
| Full Name | Matthew Christopher Taylor |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 5450 Fort St, Trenton, Michigan |
| 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 |
|---|---|---|---|
| 1124324421 | NPI | - | NPPES |
| 12217951 | Other | MI | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601005985 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 50.003515RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health St Vincent Medical Center | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geriatric Psychiatric Services Pllc | 6204837388 | 16 |
| Entity Name | Geriatric Psychiatric Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467492173 PECOS PAC ID: 6204837388 Enrollment ID: O20101028000065 |
| Entity Name | Ameriwound LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740535988 PECOS PAC ID: 0345498853 Enrollment ID: O20120906000861 |
| Entity Name | Mercy Emergency Care Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477957819 PECOS PAC ID: 9436475795 Enrollment ID: O20150303001904 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Christopher Taylor, PAC 38935 Ann Arbor Rd, Credentialing Dept, Livonia, MI 48150-3397 Ph: (734) 805-0488 | Matthew Christopher Taylor, PAC 5450 Fort St, Emergency Dept, Trenton, MI 48183-4601 Ph: (734) 671-3883 |
Nguyen H. Park, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5400 Fort St, Suite 200, Trenton, MI 48183 Phone: 734-675-2220 Fax: 734-675-5720 |
Tammy Vo-mota, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2275 W Jefferson Ave, Trenton, MI 48183 Phone: 734-675-7210 |
Melissa Mazurek, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2865 West Rd Ste 1, Trenton, MI 48183 Phone: 734-992-5252 |
Emily Haas, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3645 West Rd, Trenton, MI 48183 Phone: 734-365-8801 Fax: 734-365-8802 |
Hayat Srour, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 |
Madeline Rose Eckerman, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 |
Carissa Gralewski, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3645 West Rd, Trenton, MI 48183 Phone: 734-486-4200 |