Taylor Frederick Randall Vice, MD is a medicare enrolled "Anesthesiology" physician in Spring Lake, North Carolina. His current practice location is
652 Stone Cross Dr, Spring Lake, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(260) 316-8695.
Taylor Frederick Randall Vice is licensed to practice in North Carolina (license number 2016-01237) 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 1578859039.
Physician's Profile
Full Name | Taylor Frederick Randall Vice |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 652 Stone Cross Dr, Spring Lake, North Carolina |
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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: 1578859039
- Provider Enumeration Date: 06/23/2011
- Last Update Date: 05/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507140613
- Enrollment ID: I20170308001277
Medical Identifiers
Medical identifiers for Taylor Frederick Randall Vice such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578859039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 2016-01237 (North Carolina) | Primary |
207L00000X | Anesthesiology | 01077405A (Indiana) | Secondary |
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. Taylor Frederick Randall Vice allows following entities to bill medicare on his behalf.
Entity Name | University Of North Carolina At Chapel Hill |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
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Entity Name | Fayetteville Anesthesia, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144362864 PECOS PAC ID: 0941281158 Enrollment ID: O20040525000891 |
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Entity Name | Southeast Anesthesiology Consultants Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538124201 PECOS PAC ID: 7719959873 Enrollment ID: O20040809001398 |
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Entity Name | Medstream Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001209 |
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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. Taylor Frederick Randall Vice 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 |
Taylor Frederick Randall Vice, MD 652 Stone Cross Dr, Spring Lake, NC 28390-9082 Ph: (260) 316-8695 | Taylor Frederick Randall Vice, MD 652 Stone Cross Dr, Spring Lake, NC 28390-9082 Ph: (260) 316-8695 |
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