| Mr Scott J Taylor, PA-C | |
|
8435 Se 68th St Ste 118, Mercer Island, WA 98040-5249 | |
| (206) 232-7546 | |
| Not Available |
| Full Name | Mr Scott J Taylor |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 8435 Se 68th St Ste 118, Mercer Island, Washington |
| 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 |
|---|---|---|---|
| 1295062057 | NPI | - | NPPES |
| 1134375421 | Other | WA | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60122099 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swedish Edmonds Hospital | Edmonds, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Silver Falls Dermatology Llc | 5890863492 | 100 |
| Entity Name | Aesthetic & General Dermatology of Seattle |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518962935 PECOS PAC ID: 9931189271 Enrollment ID: O20040726000645 |
| Entity Name | Silver Falls Dermatology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134375421 PECOS PAC ID: 5890863492 Enrollment ID: O20140328000678 |
| Entity Name | Active Wound Healing |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679264485 PECOS PAC ID: 7113389370 Enrollment ID: O20230821000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Scott J Taylor, PA-C 1793 13th St Se, Salem, OR 97302-2541 Ph: (503) 362-8385 | Mr Scott J Taylor, PA-C 8435 Se 68th St Ste 118, Mercer Island, WA 98040-5249 Ph: (206) 232-7546 |
Ganga Pingili, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2835 82nd Ave Se Ste 210, Mercer Island, WA 98040 Phone: 206-236-3030 Fax: 206-204-0808 |
Mrs. Jennifer Huwaldt Hall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8435 Se 68th St Ste 118, Mercer Island, WA 98040 Phone: 206-232-7546 |
Ms. Catherine Anne Delsecco, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8435 Se 68th St, Suite 118, Mercer Island, WA 98040 Phone: 206-232-7546 Fax: 206-275-0805 |
Mr. Ray Johnson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4446 88th Ave Se, Mercer Island, WA 98040 Phone: 206-939-9898 |