Charles Michael Taylor Ii, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Clarksville, Texas. His current practice location is
300 E Baker St, Clarksville, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 427-2236.
Charles Michael Taylor Ii is licensed to practice in Texas (license number S4403) 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 1538553417.
Physician's Profile
| Full Name | Charles Michael Taylor Ii |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 300 E Baker St, Clarksville, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538553417
- Provider Enumeration Date: 03/27/2015
- Last Update Date: 07/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 7416375621
- Enrollment ID: I20200918001803
Medical Identifiers
Medical identifiers for Charles Michael Taylor Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538553417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | S4403 (Texas) | 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. Charles Michael Taylor Ii allows following entities to bill medicare on his behalf.
| Entity Name | Charles Michael Taylor Ii |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134739303
PECOS PAC ID: 5799103909
Enrollment ID: O20200918001738 |
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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. Charles Michael Taylor Ii 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 |
|---|
Charles Michael Taylor Ii,
539 W Commerce St, Ste 3000,
Dallas, TX 75208-1953
Ph: (214) 970-6817 | Charles Michael Taylor Ii,
300 E Baker St,
Clarksville, TX 75426-5034
Ph: (903) 427-2236 |
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