Liane Etsuko Taylan, is a medicare enrolled "Social Worker - Clinical" provider in Joint Base Lewis-mcchord, Washington. Her current practice location is
9040a Jackson Ave, Joint Base Lewis-mcchord, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 968-2294.
Liane Etsuko Taylan is licensed to practice in Nevada (license number 10330-C) 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 1205109543.
Healthcare Provider's Profile
Full Name | Liane Etsuko Taylan |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 9040a Jackson Ave, Joint Base Lewis-mcchord, Washington |
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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: 1205109543
- Provider Enumeration Date: 02/16/2012
- Last Update Date: 11/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789053406
- Enrollment ID: I20221219002415
Medical Identifiers
Medical identifiers for Liane Etsuko Taylan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205109543 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 10330-C (Nevada) | 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. Liane Etsuko Taylan allows following entities to bill medicare on her behalf.
Entity Name | Legacy Health And Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457600645 PECOS PAC ID: 9335363118 Enrollment ID: O20140618000244 |
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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. Liane Etsuko Taylan 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 |
Liane Etsuko Taylan, 9040 Jackson Ave, Tacoma, WA 98431-0001 Ph: (253) 968-2252 | Liane Etsuko Taylan, 9040a Jackson Ave, Joint Base Lewis-mcchord, WA 98433 Ph: (253) 968-2294 |
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