Dr Jacqueline L Taylor, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Madison Heights, Michigan. She went to Wayne State University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Davincii Obstetrics And Gynecology Plc and her current practice location is
1435 E 12 Mile Rd, Madison Heights, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 543-2229.
Dr Jacqueline L Taylor is licensed to practice in Michigan (license number 4301076014) 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 1972586113.
Physician's Profile
| Full Name | Dr Jacqueline L Taylor |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 28 Years |
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| Location | 1435 E 12 Mile Rd, Madison Heights, Michigan |
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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:
- Dr Jacqueline L Taylor attended and graduated from Wayne State University School Of Medicine in 1996
NPI Data:
- NPI Number: 1972586113
- Provider Enumeration Date: 11/22/2005
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 8921071515
- Enrollment ID: I20040812001208
Medical Identifiers
Medical identifiers for Dr Jacqueline L Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972586113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 4301076014 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Davincii Obstetrics And Gynecology Plc | 5991776585 | 2 |
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. Dr Jacqueline L Taylor allows following entities to bill medicare on her behalf.
| Entity Name | Davincii Obstetrics & Gynecology Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508928847
PECOS PAC ID: 5991776585
Enrollment ID: O20040805000885 |
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| Entity Name | Beaumont Medical Group Hospital Based Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427567858
PECOS PAC ID: 3072875889
Enrollment ID: O20180314001796 |
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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. Dr Jacqueline L 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 Jacqueline L Taylor, MD
1435 E 12 Mile Rd,
Madison Heights, MI 48071-2653
Ph: (248) 543-2229 | Dr Jacqueline L Taylor, MD
1435 E 12 Mile Rd,
Madison Heights, MI 48071-2653
Ph: (248) 543-2229 |
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