| Traci Taylor, | |
|
3140 Hummer Lake Rd, Ortonville, MI 48462-9721 | |
| (586) 552-7094 | |
| Not Available |
| Full Name | Traci Taylor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 3140 Hummer Lake Rd, Ortonville, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811514003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F06202534 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-county Medical Clinic Pc | 1355326885 | 7 |
| Entity Name | Tri-county Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639264344 PECOS PAC ID: 1355326885 Enrollment ID: O20040621000304 |
| Mailing Address | Practice Location Address |
|---|---|
| Traci Taylor, 3140 Hummer Lake Rd, Ortonville, MI 48462-9721 Ph: (586) 552-7094 | Traci Taylor, 3140 Hummer Lake Rd, Ortonville, MI 48462-9721 Ph: (586) 552-7094 |
Brandy Godbout, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1368 Perry Lake Rd, Ortonville, MI 48462 Phone: 586-556-6020 | |
Baylie Dynell Bettinger, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 N Ortonville Rd, Ortonville, MI 48462 Phone: 248-793-7713 | |
Mrs. Sandra Sherer, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12280 Ray Rd, Ortonville, MI 48462 Phone: 248-467-7755 | |
Matthew David Roth, MSN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 Douglaston Dr, Ortonville, MI 48462 Phone: 248-390-7392 | |
Lynn Sandford Victoria Walls, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 481 Aarons Way, Ortonville, MI 48462 Phone: 248-660-6497 |