Brandy Taylor, LISW, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Dayton, Ohio. Her current practice location is
1628 Springfield St, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 802-5440.
Brandy Taylor is licensed to practice in Ohio (license number I.2304983) 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 1023592268.
Healthcare Provider's Profile
| Full Name | Brandy Taylor |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1628 Springfield St, Dayton, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023592268
- Provider Enumeration Date: 09/24/2018
- Last Update Date: 12/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062832876
- Enrollment ID: I20201016001322
Medical Identifiers
Medical identifiers for Brandy Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023592268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162555 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2304983 (Ohio) | 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. Brandy Taylor allows following entities to bill medicare on her behalf.
| Entity Name | Life Changing Family Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972213700
PECOS PAC ID: 4486025186
Enrollment ID: O20230117000794 |
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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. Brandy 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 |
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Brandy Taylor, LISW, LICDC
4930 Kolmar Ave,
Dayton, OH 45432-3127
Ph: (937) 715-2185 | Brandy Taylor, LISW, LICDC
1628 Springfield St,
Dayton, OH 45403-1430
Ph: (937) 802-5440 |
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