Jacob T Taylor, DMD, MD in San Diego, CA - Medicare Dentist Provider

Jacob T Taylor, DMD, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in San Diego, California. His current practice location is 306 Walnut Ave Ste 26, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 299-3320.

Jacob T Taylor is licensed to practice in California (license number 104424) 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 1497242549.

Contact Information

	Jacob T Taylor, DMD, MD
	306 Walnut Ave Ste 26, San Diego, CA 92103-4980
	(619) 299-3320
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob T Taylor
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	306 Walnut Ave Ste 26, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497242549
Provider Enumeration Date: 04/15/2018
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 2163890682
Enrollment ID: I20221115000251

Medical Identifiers

Medical identifiers for Jacob T Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497242549	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	A196653 (California)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	104424 (California)	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. Jacob T 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
Jacob T Taylor, DMD, MD 306 Walnut Ave Ste 26, San Diego, CA 92103-4980 Ph: (619) 299-3320	Jacob T Taylor, DMD, MD 306 Walnut Ave Ste 26, San Diego, CA 92103-4980 Ph: (619) 299-3320

Reviews and Comments

Dentist in San Diego, CA

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Jacob T Taylor, DMD, MD - Medicare Dentist in San Diego, CA