Mr Trent Allen Taylor, MD | |
1125 Madison St, Jefferson City, MO 65101-5227 | |
(573) 632-5000 | |
Not Available |
Full Name | Mr Trent Allen Taylor |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1125 Madison St, Jefferson City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518935626 | NPI | - | NPPES |
3126225 | Other | TN | BLUE CROSS |
3136126 | Other | TN | BLUE CROSS |
3829747 | Medicaid | TN | |
3829746 | Medicaid | TN | |
3829745 | Medicaid | TN | |
3095825 | Other | TN | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2004001486 (Missouri) | Primary |
207P00000X | Emergency Medicine | 30533 (Tennessee) | Secondary |
Entity Name | Electric City Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659604254 PECOS PAC ID: 9739225186 Enrollment ID: O20091015000251 |
Mailing Address | Practice Location Address |
---|---|
Mr Trent Allen Taylor, MD 5915 Wyandotte St, Kansas City, MO 64113 Ph: (615) 268-0914 | Mr Trent Allen Taylor, MD 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5000 |
Charles Joseph Ludy, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 | |
Dr. Todd Rockett, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Saint Marys Plz, Jefferson City, MO 65101 Phone: 573-761-7000 | |
Dr. Johnbosco Onyekachukwu Okpala, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-884-4400 Fax: 573-884-5994 | |
Alan Robert Lemerande Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 | |
Monika M Prost, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-636-9756 | |
Dr. Mark R Katsaros, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3527 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-882-8910 Fax: 573-884-1585 | |
Dr. James Patrick Newman Ii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 Madison St, Jefferson City, MO 65101 Phone: 573-644-6999 Fax: 573-644-7880 |