Dr Chontay Taylor, PHD, RN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Grosse Pointe Woods, Michigan. Her current practice location is
2089 Anita Ave, Grosse Pointe Woods, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 459-6707.
Dr Chontay Taylor is licensed to practice in Michigan (license number 4704208682) 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 1164631727.
Healthcare Provider's Profile
Full Name | Dr Chontay Taylor |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 2089 Anita Ave, Grosse Pointe Woods, 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: 1164631727
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 07/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325135635
- Enrollment ID: I20130923000329
Medical Identifiers
Medical identifiers for Dr Chontay Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164631727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
163WC1500X | Registered Nurse - Community Health | 4704208682 (Michigan) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704208682 (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. Dr Chontay Taylor allows following entities to bill medicare on her behalf.
Entity Name | The Healing Palace Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407020993 PECOS PAC ID: 6709206790 Enrollment ID: O20201013001249 |
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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. Dr Chontay 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 |
Dr Chontay Taylor, PHD, RN, PMHNP-BC 2089 Anita Ave, Grosse Pointe Woods, MI 48236-1427 Ph: (313) 459-6707 | Dr Chontay Taylor, PHD, RN, PMHNP-BC 2089 Anita Ave, Grosse Pointe Woods, MI 48236-1427 Ph: (313) 459-6707 |
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