Jacqueline Marie Taylor, LMHC in Bunnell, FL - Medicare Counselor Provider

Jacqueline Marie Taylor, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Bunnell, Florida. Her current practice location is 1769 E Moody Blvd, Bunnell, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 437-7540.

Jacqueline Marie Taylor is licensed to practice in Florida (license number 15415) 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 1114424272.

Contact Information

	Jacqueline Marie Taylor, LMHC
	1769 E Moody Blvd, Bunnell, FL 32110-6355
	(386) 437-7540
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Marie Taylor
Gender	Female
Speciality	Counselor - Mental Health
Location	1769 E Moody Blvd, Bunnell, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114424272
Provider Enumeration Date: 04/06/2018
Last Update Date: 01/03/2020

Medicare PECOS Information:

PECOS PAC ID: 3577095686
Enrollment ID: I20241015000039

Medical Identifiers

Medical identifiers for Jacqueline Marie Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114424272	NPI	-	NPPES
04-802-04-0329	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	15415 (Florida)	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. Jacqueline Marie Taylor allows following entities to bill medicare on her behalf.

Entity Name	Still Waters Therapy, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134737828 PECOS PAC ID: 2668904772 Enrollment ID: O20241015000027

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. Jacqueline Marie 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
Jacqueline Marie Taylor, LMHC 31 Ryding Ln, Palm Coast, FL 32164-6012 Ph: (386) 264-3464	Jacqueline Marie Taylor, LMHC 1769 E Moody Blvd, Bunnell, FL 32110-6355 Ph: (386) 437-7540

Reviews and Comments

Counselor in Bunnell, FL

Jennifer Hiers, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4721 E Moody Blvd Ste 204, Bunnell, FL 32110 Phone: 386-793-9669 Fax: 386-256-1761
Mrs. Jessie Dolores Love-belle, MASTERS LEVEL CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4750 E Moody Blvd, Bunnell, FL 32110 Phone: 386-569-4748 Fax: 386-313-1955
Amy Leigh Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Justice Ln, Bunnell, FL 32110 Phone: 386-236-1802
Martha Bradley, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 301 Justice Ln, Bunnell, FL 32110 Phone: 800-539-4228
Kelly Kraus, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Justice Ln, Bunnell, FL 32110 Phone: 386-236-1726
Ronda Maria Bostick, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 301 Justice Ln, Bunnell, FL 32110 Phone: 800-539-4228 Fax: 386-236-3162

Jacqueline Marie Taylor, LMHC - Medicare Counselor in Bunnell, FL