Mr Taylor Drake Coleman I, in Chicago, IL

Mr Taylor Drake Coleman I, is a medicare enrolled "Surgery" physician in Chicago, Illinois. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Porter Physician Services Llc and his current practice location is 836 W Wellington Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 975-1600.

Mr Taylor Drake Coleman I is licensed to practice in Indiana (license number 01085218A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669835963.

Contact Information

	Mr Taylor Drake Coleman I,
	836 W Wellington Ave, Chicago, IL 60657-5147
	(773) 975-1600
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Taylor Drake Coleman I
Gender	Male
Speciality	General Surgery
Experience	8 Years
Location	836 W Wellington Ave, Chicago, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Taylor Drake Coleman I graduated from medical school in 2016

NPI Data:

NPI Number: 1669835963
Provider Enumeration Date: 04/04/2016
Last Update Date: 09/20/2021

Medicare PECOS Information:

PECOS PAC ID: 2567755622
Enrollment ID: I20210323000827

Medical Identifiers

Medical identifiers for Mr Taylor Drake Coleman I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669835963	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	01085218A (Indiana)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwest Health - Porter	Valparaiso, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Porter Physician Services Llc	1850482407	91

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. Mr Taylor Drake Coleman I allows following entities to bill medicare on his behalf.

Entity Name	Porter Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409

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. Mr Taylor Drake Coleman I 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
Mr Taylor Drake Coleman I, 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-3616	Mr Taylor Drake Coleman I, 836 W Wellington Ave, Chicago, IL 60657-5147 Ph: (773) 975-1600

Reviews and Comments

Surgery Doctors in Chicago, IL

Raelene D Kennedy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 810, Chicago, IL 60612 Phone: 312-942-5500
Douglas Wiseman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7447 W Talcott Ave Ste 427, Chicago, IL 60631 Phone: 773-990-4024
Dr. Bobiejo Ava Ferguson Bryan, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140
Adam Lam, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140
Kabeer Rajan Masih, MD Surgery Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000
Jay Prystowsky, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797
Heron Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St, Northwestern Memorial Hospialt Galter 19-100, Chicago, IL 60611 Phone: 312-695-2714

Mr Taylor Drake Coleman I, - Medicare General Surgery in Chicago, IL