Dr Tracy Neal Taylor, DMD is a medicare enrolled "Dentist" provider in Fairbury, Illinois. His current practice location is
202 East Locust Street, Fairbury, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 692-4247.
Dr Tracy Neal Taylor is licensed to practice in Illinois (license number 371296120) 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 1316101025.
Healthcare Provider's Profile
Full Name | Dr Tracy Neal Taylor |
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Gender | Male |
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Speciality | Dentist |
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Location | 202 East Locust Street, Fairbury, Illinois |
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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: 1316101025
- Provider Enumeration Date: 07/11/2008
- Last Update Date: 02/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 9032413166
- Enrollment ID: I20160209002782
Medical Identifiers
Medical identifiers for Dr Tracy Neal Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316101025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 371296120 (Illinois) | Primary |
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 Tracy Neal 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 Tracy Neal Taylor, DMD 202 East Locust Street, Fairbury, IL 61739 Ph: (815) 692-4247 | Dr Tracy Neal Taylor, DMD 202 East Locust Street, Fairbury, IL 61739 Ph: (815) 692-4247 |
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