Shelisa Rena Taylor, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Salem, Alabama. Her current practice location is
1126 Lee Road 250, Salem, Alabama. You can reach out to her office (for appointments etc.) via phone at
(706) 326-0415.
Shelisa Rena Taylor is licensed to practice in Alabama (license number 1-104844) 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 1992277594.
Provider's Profile
| Full Name | Shelisa Rena Taylor |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1126 Lee Road 250, Salem, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992277594
- Provider Enumeration Date: 12/19/2018
- Last Update Date: 10/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 3274060074
- Enrollment ID: I20241218000125
Medical Identifiers
Medical identifiers for Shelisa Rena Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992277594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 209020023 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN160659 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-104844 (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. Shelisa Rena Taylor allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200115001292 |
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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. Shelisa Rena Taylor 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 |
Shelisa Rena Taylor, FNP-BC 1126 Lee Road 250, Salem, AL 36874-1373 Ph: (706) 326-0415 | Shelisa Rena Taylor, FNP-BC 1126 Lee Road 250, Salem, AL 36874-1373 Ph: (706) 326-0415 |
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