Mr Jesse Michael Taylor, LICSW in Burlington, VT - Medicare Social Worker Provider

Mr Jesse Michael Taylor, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Burlington, Vermont. His current practice location is 112 Lake St Ste 210, Burlington, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 865-3450.

Mr Jesse Michael Taylor is licensed to practice in Vermont (license number 089.0135591) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801591045.

Contact Information

	Mr Jesse Michael Taylor, LICSW
	112 Lake St Ste 210, Burlington, VT 05401-5284
	(802) 865-3450
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jesse Michael Taylor
Gender	Male
Speciality	Social Worker - Clinical
Location	112 Lake St Ste 210, Burlington, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801591045
Provider Enumeration Date: 04/04/2023
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 5294185096
Enrollment ID: I20231220000329

Medical Identifiers

Medical identifiers for Mr Jesse Michael Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801591045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	089.0135591 (Vermont)	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. Mr Jesse Michael Taylor allows following entities to bill medicare on his behalf.

Entity Name	Matrix Health Systems Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104872712 PECOS PAC ID: 1052219359 Enrollment ID: O20031230000156

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. Mr Jesse Michael 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
Mr Jesse Michael Taylor, LICSW 86 Lake St, Burlington, VT 05401-5297 Ph: (802) 865-3450	Mr Jesse Michael Taylor, LICSW 112 Lake St Ste 210, Burlington, VT 05401-5284 Ph: (802) 865-3450

Reviews and Comments

Social Worker in Burlington, VT

Shannon Kadish, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6600
Elyza Moore, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6000 Fax: 802-488-6919
Ellyn Leamon, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-863-1326
Lauren Carpenter, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309
Elaine Soto, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 Flynn Ave, Burlington, VT 05401 Phone: 802-488-6300
Jenifer D'aiello, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 S Prospect St, Burlington, VT 05401 Phone: 802-847-5331 Fax: 802-847-7765
Kathleen Browne, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 Fax: 802-860-4324

Mr Jesse Michael Taylor, LICSW - Medicare Clinical Social Worker in Burlington, VT