Andrea Leenette Taylor, is a medicare enrolled "Psychologist - Clinical" provider in Novi, Michigan. Her current practice location is
24166 Trafalgar Ct, Novi, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 497-1001.
Andrea Leenette Taylor is licensed to practice in Michigan (license number 6301019134) 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 1861968638.
Healthcare Provider's Profile
Full Name | Andrea Leenette Taylor |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 24166 Trafalgar Ct, Novi, Michigan |
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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: 1861968638
- Provider Enumeration Date: 10/19/2018
- Last Update Date: 12/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 6406221290
- Enrollment ID: I20230410000820
Medical Identifiers
Medical identifiers for Andrea Leenette Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861968638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 6401009648 (Michigan) | Secondary |
103TC0700X | Psychologist - Clinical | 6301019134 (Michigan) | 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. Andrea Leenette Taylor allows following entities to bill medicare on her behalf.
Entity Name | Looking For A Miracle, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700496197 PECOS PAC ID: 0143695551 Enrollment ID: O20230417000407 |
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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. Andrea Leenette 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 |
Andrea Leenette Taylor, 24166 Trafalgar Ct, Novi, MI 48374-3667 Ph: (248) 497-1001 | Andrea Leenette Taylor, 24166 Trafalgar Ct, Novi, MI 48374-3667 Ph: (248) 497-1001 |
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