Mr Wendell Reginald Taylor Jr, in Fairbanks, AK

Mr Wendell Reginald Taylor Jr, is a medicare enrolled "Nurse Practitioner - Family" in Fairbanks, Alaska. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Osh-oh Physicians Group Pc, Tanana Valley Clinic Llc and his current practice location is 1101 Noble St, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 458-2682.

Mr Wendell Reginald Taylor Jr is licensed to practice in Alaska (license number 234580) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063069466.

Contact Information

	Mr Wendell Reginald Taylor Jr,
	1101 Noble St, Fairbanks, AK 99701-4924
	(907) 458-2682
	(907) 458-2628

Map and Direction

Provider's Profile

Full Name	Mr Wendell Reginald Taylor Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	1101 Noble St, Fairbanks, Alaska
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Wendell Reginald Taylor Jr graduated from nursing school in 2019

NPI Data:

NPI Number: 1063069466
Provider Enumeration Date: 08/20/2019
Last Update Date: 07/01/2025

Medicare PECOS Information:

PECOS PAC ID: 6204261654
Enrollment ID: I20200114000806

Medical Identifiers

Medical identifiers for Mr Wendell Reginald Taylor Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063069466	NPI	-	NPPES
1756188	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	234580 (Alaska)	Primary
363LF0000X	Nurse Practitioner - Family	025228 (Ohio)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fairbanks Memorial Hospital	Fairbanks, AK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osh-oh Physicians Group Pc	1759639693	62
Tanana Valley Clinic Llc	5698056901	131

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. Mr Wendell Reginald Taylor Jr allows following entities to bill medicare on his behalf.

Entity Name	Osh-oh Physicians Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346747946 PECOS PAC ID: 1759639693 Enrollment ID: O20180808003187

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. Mr Wendell Reginald Taylor Jr 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
Mr Wendell Reginald Taylor Jr, Po Box 73720, Fairbanks, AK 99707-3720 Ph: (513) 498-2626	Mr Wendell Reginald Taylor Jr, 1101 Noble St, Fairbanks, AK 99701-4924 Ph: (907) 458-2682

Reviews and Comments

Nurse Practitioner Nurses in Fairbanks, AK

Mrs. Kelly Kay Binkowski, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1626 30th Ave, Fairbanks, AK 99701 Phone: 907-479-7701
Janice L Stables, MSN, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1867 Airport Way, Ste 110b, Fairbanks, AK 99701 Phone: 907-452-6330 Fax: 907-452-6335
Anne Marie Lilley, RN, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1275 Sadler Way, #101, Fairbanks, AK 99701 Phone: 907-361-6370 Fax: 907-361-6372
Susana Donofry, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 565 University Ave Ste 1, Fairbanks, AK 99709 Phone: 215-704-1238
Alyce Lynne Weckwerth, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-6251 Fax: 907-451-6251
Mrs. Shannon Kay Rhoton, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1919 Lathrop St, Suite 217, Fairbanks, AK 99701 Phone: 907-456-8191 Fax: 907-456-8192

Mr Wendell Reginald Taylor Jr, - Medicare Nurse Practitioner in Fairbanks, AK