Taylor Extine, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Owens Cross Roads, Alabama. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Huntsville Hospital Anesthesia and her current practice location is
4719 Slalom Run Se, Owens Cross Roads, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 541-6493.
Taylor Extine is licensed to practice in Alabama (license number 1-171968) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619645025.
Provider's Profile
| Full Name | Taylor Extine |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 1 Years |
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| Location | 4719 Slalom Run Se, Owens Cross Roads, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Taylor Extine graduated from nursing school in 2024
NPI Data:
- NPI Number: 1619645025
- Provider Enumeration Date: 08/31/2021
- Last Update Date: 06/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355886748
- Enrollment ID: I20240710000640
Medical Identifiers
Medical identifiers for Taylor Extine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619645025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 1-171968 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Huntsville Hospital Anesthesia | 7315990751 | 150 |
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. Taylor Extine allows following entities to bill medicare on her behalf.
| Entity Name | Huntsville Hospital Anesthesia |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851321079 PECOS PAC ID: 7315990751 Enrollment ID: O20050225000538 |
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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. Taylor Extine 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 |
Taylor Extine, RN 4719 Slalom Run Se, Owens Cross Roads, AL 35763-8712 Ph: (256) 541-6493 | Taylor Extine, RN 4719 Slalom Run Se, Owens Cross Roads, AL 35763-8712 Ph: (256) 541-6493 |
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