Shaqualyn Taite, CRNP - Medicare Nurse Practitioner in Jackson, AL

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Shaqualyn Taite, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Alabama. Her current practice location is 4005 N College Ave, Jackson, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 744-6084.

Shaqualyn Taite is licensed to practice in Alabama (license number 1-150563) 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 1881211019.

Contact Information

Shaqualyn Taite, CRNP
4005 N College Ave,
Jackson, AL 36545-2024
(251) 744-6084
Not Available

Map and Direction




Provider's Profile

Full NameShaqualyn Taite
GenderFemale
SpecialityNurse Practitioner - Family
Location4005 N College Ave, Jackson, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881211019
  • Provider Enumeration Date: 07/04/2020
  • Last Update Date: 03/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406241660
  • Enrollment ID: I20220325000158

Medical Identifiers

Medical identifiers for Shaqualyn Taite such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881211019NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-150563 (Alabama)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. Shaqualyn Taite allows following entities to bill medicare on her behalf.
Entity NameRural Health Medical Program, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437238151
PECOS PAC ID: 0143219196
Enrollment ID: O20040506001178
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639679962
PECOS PAC ID: 5395881841
Enrollment ID: O20200415001560

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. Shaqualyn Taite 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 AddressPractice Location Address
Shaqualyn Taite, CRNP
Po Box 306491,
Nashville, TN 37230-6491

Ph: () -		Shaqualyn Taite, CRNP
4005 N College Ave,
Jackson, AL 36545-2024

Ph: (251) 744-6084

Reviews and Comments


Nurse Practitioner Nurses in Jackson, AL

Angela Bolen, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 220 Hospital Dr, Jackson, AL 36545
Phone: 251-246-9021    
Ms. Rene Bontrager, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 220 Hospital Dr, Jackson, AL 36545
Phone: 251-246-1210    Fax: 251-246-1219
Timothy H Mullinix, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 227 Hospital Dr, Jackson, AL 36545
Phone: 251-246-4446    Fax: 251-246-5111
Linda T Reynolds, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 227 Hospital Dr, Jackson, AL 36545
Phone: 251-246-4446    Fax: 251-246-5111
Jennifer Tolbert Dowling, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 220 Hospital Dr, Jackson, AL 36545
Phone: 251-246-1203    Fax: 251-246-1180
Mrs. Jessie Louise Criswell, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 227 Hospital Dr, Jackson, AL 36545
Phone: 251-246-4446    Fax: 251-246-5111

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.