Bradley R Taylor Sr, in Virginia Beach, VA - Medicare Counselor Provider

Bradley R Taylor Sr, is a medicare enrolled "Counselor - Professional" provider in Virginia Beach, Virginia. His current practice location is 4360 Shore Dr Ste 101, Virginia Beach, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 251-0879.

Bradley R Taylor Sr is licensed to practice in Virginia (license number 0701007601) 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 1609363126.

Contact Information

	Bradley R Taylor Sr,
	4360 Shore Dr Ste 101, Virginia Beach, VA 23455-2994
	(757) 251-0879
	(984) 220-9437

Map and Direction

Healthcare Provider's Profile

Full Name	Bradley R Taylor Sr
Gender	Male
Speciality	Counselor - Professional
Location	4360 Shore Dr Ste 101, Virginia Beach, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609363126
Provider Enumeration Date: 04/19/2018
Last Update Date: 04/20/2023

Medicare PECOS Information:

PECOS PAC ID: 0042640666
Enrollment ID: I20240416004410

Medical Identifiers

Medical identifiers for Bradley R Taylor Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609363126	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	0718000469 (Virginia)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	0710102138 (Virginia)	Secondary
101YP2500X	Counselor - Professional	0701007601 (Virginia)	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. Bradley R Taylor Sr allows following entities to bill medicare on his behalf.

Entity Name	Your Nurse Practitioner Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801489711 PECOS PAC ID: 7113329517 Enrollment ID: O20210820001396

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. Bradley R Taylor Sr 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
Bradley R Taylor Sr, 2697 International Pkwy Ste 104-1, Virginia Beach, VA 23452-7805 Ph: (757) 486-1143	Bradley R Taylor Sr, 4360 Shore Dr Ste 101, Virginia Beach, VA 23455-2994 Ph: (757) 251-0879

Reviews and Comments

Counselor in Virginia Beach, VA

Joy J Sprenkle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2697 International Pkwy, Virginia Beach, VA 23452 Phone: 757-301-7129 Fax: 757-301-7211
Caitlin Cavanaugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Lynnhaven Rd Ste 308, Virginia Beach, VA 23452 Phone: 757-222-4944
Mr. Samuel James Johnson Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 2524 Hidden Shores Dr Apt 103, Virginia Beach, VA 23454 Phone: 757-235-1811
Cheryl A St John, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 289 Independence Blvd, Suite 138, Virginia Beach, VA 23462 Phone: 757-385-4980
Rebecca Provost, LPC Counselor Medicare: Medicare Enrolled Practice Location: 921 First Colonial Rd Ste 1711, Virginia Beach, VA 23454 Phone: 757-932-8057
Lydia Steele, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 228 N Lynnhaven Rd Ste 110, Virginia Beach, VA 23452 Phone: 757-340-6100
Frank D Bond, LPC Counselor Medicare: Medicare Enrolled Practice Location: 780 Lynnhaven Pkwy Ste 340, Virginia Beach, VA 23452 Phone: 757-301-8747

Bradley R Taylor Sr, - Medicare Counselor in Virginia Beach, VA