Nicole Monique Taylor, MD is a medicare enrolled "Pediatrics" physician in Willimantic, Connecticut. Her current practice location is
40 Mansfield Ave, Willimantic, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 450-7471.
Nicole Monique Taylor is licensed to practice in Connecticut (license number 51756) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467553313.
Physician's Profile
| Full Name | Nicole Monique Taylor |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 40 Mansfield Ave, Willimantic, Connecticut |
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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: 1467553313
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 02/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 1557598158
- Enrollment ID: I20131205000547
Medical Identifiers
Medical identifiers for Nicole Monique Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467553313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 51756 (Connecticut) | 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. Nicole Monique Taylor allows following entities to bill medicare on her behalf.
| Entity Name | Generations Family Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346228905
PECOS PAC ID: 4880640630
Enrollment ID: O20050324000979 |
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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. Nicole Monique 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 |
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Nicole Monique Taylor, MD
40 Mansfield Ave,
Willimantic, CT 06226-2018
Ph: (860) 450-7471 | Nicole Monique Taylor, MD
40 Mansfield Ave,
Willimantic, CT 06226-2018
Ph: (860) 450-7471 |
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