Mr Taylor Mundo, CNP is a medicare enrolled "Nurse Practitioner" physician in Edinburg, Texas. His current practice location is
2805 Red Raider Ave, Edinburg, Texas. You can reach out to his office (for appointments etc.) via phone at
(956) 207-4375.
Mr Taylor Mundo is licensed to practice in Texas (license number 1103054) 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 1154024396.
Physician's Profile
Full Name | Mr Taylor Mundo |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Location | 2805 Red Raider Ave, Edinburg, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154024396
- Provider Enumeration Date: 03/27/2023
- Last Update Date: 04/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042652851
- Enrollment ID: I20240524001567
Medical Identifiers
Medical identifiers for Mr Taylor Mundo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154024396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1103054 (Texas) | Secondary |
363L00000X | Nurse Practitioner | 1103054 (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. Mr Taylor Mundo allows following entities to bill medicare on his behalf.
Entity Name | Vpa Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702 |
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Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
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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. Mr Taylor Mundo 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 Mundo, CNP 2805 Red Raider Ave, Edinburg, TX 78542-2954 Ph: (956) 207-4375 | Mr Taylor Mundo, CNP 2805 Red Raider Ave, Edinburg, TX 78542-2954 Ph: (956) 207-4375 |
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