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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