Denetra Quinnette Taylor, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Vicksburg, Mississippi. Her current practice location is
1905a Mission 66, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 259-6566.
Denetra Quinnette Taylor is licensed to practice in Mississippi (license number T0272) 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 1609086677.
Healthcare Provider's Profile
Full Name | Denetra Quinnette Taylor |
---|
Gender | Female |
---|
Speciality | Marriage & Family Therapist |
---|
Location | 1905a Mission 66, Vicksburg, Mississippi |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609086677
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 03/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 8224470745
- Enrollment ID: I20240529001376
Medical Identifiers
Medical identifiers for Denetra Quinnette Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609086677 | NPI | - | NPPES |
00018209 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | T0272 (Mississippi) | 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. Denetra Quinnette Taylor allows following entities to bill medicare on her behalf.
Entity Name | Central Mississippi Civic Improvement Association, Inc |
---|
Entity Type | Part B Supplier - Pharmacy |
---|
Entity Identifiers | NPI Number: 1548342611 PECOS PAC ID: 4183533235 Enrollment ID: O20240307002325 |
---|
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. Denetra Quinnette 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 |
Denetra Quinnette Taylor, LMFT 1905a Mission 66, Vicksburg, MS 39180-3711 Ph: (601) 259-6566 | Denetra Quinnette Taylor, LMFT 1905a Mission 66, Vicksburg, MS 39180-3711 Ph: (601) 259-6566 |
Reviews and Comments