Mr Antonio Deon Taylor, LPC in Sparta, TN - Medicare Counselor Provider

Mr Antonio Deon Taylor, LPC is a medicare enrolled "Counselor - Professional" provider in Sparta, Tennessee. His current practice location is 3380 Walnut Grove Rd, Sparta, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 372-7117.

Mr Antonio Deon Taylor is licensed to practice in Tennessee (license number 4020) 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 1912273608.

Contact Information

	Mr Antonio Deon Taylor, LPC
	3380 Walnut Grove Rd, Sparta, TN 38583-5365
	(931) 372-7117
	(931) 372-7119

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Antonio Deon Taylor
Gender	Male
Speciality	Counselor - Professional
Location	3380 Walnut Grove Rd, Sparta, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912273608
Provider Enumeration Date: 03/27/2012
Last Update Date: 07/28/2023

Medicare PECOS Information:

PECOS PAC ID: 9436593266
Enrollment ID: I20240220001527

Medical Identifiers

Medical identifiers for Mr Antonio Deon Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912273608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	4020 (Tennessee)	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. Mr Antonio Deon Taylor allows following entities to bill medicare on his behalf.

Entity Name	Infinite Possibilities Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548644735 PECOS PAC ID: 6800248212 Enrollment ID: O20240122003737

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. Mr Antonio Deon 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
Mr Antonio Deon Taylor, LPC 3380 Walnut Grove Rd, Sparta, TN 38583-5365 Ph: (931) 372-7117	Mr Antonio Deon Taylor, LPC 3380 Walnut Grove Rd, Sparta, TN 38583-5365 Ph: (931) 372-7117

Reviews and Comments

Counselor in Sparta, TN

Mrs. Jennifer L Murphy, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 E Bockman Way Rm 205, Sparta, TN 38583 Phone: 931-510-0261
Mrs. Isha S. Chaney, LPC-MHSP Counselor Medicare: Medicare Enrolled Practice Location: 164 Churchill Dr, Sparta, TN 38583 Phone: 931-246-9449
Amanda Lassie-rose Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 264 Judah Dr, Sparta, TN 38583 Phone: 931-319-0814
Brittany Collins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 755 Millers Point Rd, Sparta, TN 38583 Phone: 931-837-6042
Teresa Benson, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 164 Churchill Dr, Sparta, TN 38583 Phone: 931-246-9449 Fax: 931-256-8548
Tara Cook, LPC-MHSP Counselor Medicare: Medicare Enrolled Practice Location: 164 Churchill Dr, Sparta, TN 38583 Phone: 931-246-9449 Fax: 931-256-8130
Shonteria Russell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 755 Millers Point Rd, Sparta, TN 38583 Phone: 931-738-9906

Mr Antonio Deon Taylor, LPC - Medicare Counselor in Sparta, TN