Clinton Thayne Taylor, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Farmington, New Mexico. His current practice location is
1001 W Broadway Ste D, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 325-0238.
Clinton Thayne Taylor is licensed to practice in New Mexico (license number C-11047) 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 1780121046.
Healthcare Provider's Profile
Full Name | Clinton Thayne Taylor |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 1001 W Broadway Ste D, Farmington, New Mexico |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780121046
- Provider Enumeration Date: 01/25/2017
- Last Update Date: 11/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 1052748431
- Enrollment ID: I20200225000287
Medical Identifiers
Medical identifiers for Clinton Thayne Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780121046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0176141 (New Mexico) | Secondary |
104100000X | Social Worker | M-09715 (New Mexico) | Secondary |
104100000X | Social Worker | X-11195 (New Mexico) | Secondary |
1041C0700X | Social Worker - Clinical | C-11047 (New Mexico) | 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. Clinton Thayne Taylor allows following entities to bill medicare on his behalf.
Entity Name | Presbyterian Medical Services |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414 |
---|
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. Clinton Thayne 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 |
Clinton Thayne Taylor, LCSW 1001 W Broadway Ste D, Farmington, NM 87401-5638 Ph: (505) 325-0238 | Clinton Thayne Taylor, LCSW 1001 W Broadway Ste D, Farmington, NM 87401-5638 Ph: (505) 325-0238 |
Reviews and Comments