Kelly S Taylor, MS, RD, LD, RN, CDE is a medicare enrolled "Dietitian, Registered" provider in Comanche, Texas. She graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Hendrick Provider Network and her current practice location is
10201 Highway 16, Comanche, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 879-4900.
Kelly S Taylor is licensed to practice in Texas (license number 631418) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760511281.
Healthcare Provider's Profile
| Full Name | Kelly S Taylor |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 42 Years |
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| Location | 10201 Highway 16, Comanche, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly S Taylor graduated from medical school in 1982
NPI Data:
- NPI Number: 1760511281
- Provider Enumeration Date: 03/02/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9638395528
- Enrollment ID: I20140730000835
Medical Identifiers
Medical identifiers for Kelly S Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760511281 | NPI | - | NPPES |
| 631418 | Other | TX | REGISTERED DIETICIAN LICE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 631418 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hendrick Provider Network | 9739162181 | 228 |
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. Kelly S Taylor allows following entities to bill medicare on her behalf.
| Provider Name | Hendrick Provider Network |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1396961322
PECOS PAC ID: 9739162181
Enrollment ID: O20040609001047 |
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| Provider Name | Hendrick Medical Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1861498735
PECOS PAC ID: 1658281993
Enrollment ID: O20040803001165 |
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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. Kelly S 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 |
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Kelly S Taylor, MS, RD, LD, RN, CDE
Po Box 847,
Comanche, TX 76442-0847
Ph: (254) 879-4900 | Kelly S Taylor, MS, RD, LD, RN, CDE
10201 Highway 16,
Comanche, TX 76442-4462
Ph: (254) 879-4900 |
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