Taylor Nichole Overholt, is a medicare enrolled "Counselor - Professional" provider in Glen Dale, West Virginia. Her current practice location is
608 Jefferson Ave, Glen Dale, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 238-8579.
Taylor Nichole Overholt is licensed to practice in West Virginia (license number 2908) 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 1700659208.
Healthcare Provider's Profile
Full Name | Taylor Nichole Overholt |
---|
Gender | Female |
---|
Speciality | Counselor - Professional |
---|
Location | 608 Jefferson Ave, Glen Dale, West Virginia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700659208
- Provider Enumeration Date: 11/06/2023
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133660905
- Enrollment ID: I20240919002839
Medical Identifiers
Medical identifiers for Taylor Nichole Overholt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700659208 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 2908 (West Virginia) | 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. Taylor Nichole Overholt allows following entities to bill medicare on her behalf.
Entity Name | Gr&w Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1407192024 PECOS PAC ID: 9739324922 Enrollment ID: O20130315000456 |
---|
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. Taylor Nichole Overholt 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 |
Taylor Nichole Overholt, 608 Jefferson Ave, Glen Dale, WV 26038-1326 Ph: (304) 238-8579 | Taylor Nichole Overholt, 608 Jefferson Ave, Glen Dale, WV 26038-1326 Ph: (304) 238-8579 |
Reviews and Comments