Taylor Joseph Mabry, MD is a medicare enrolled "Allergy & Immunology" physician in Hattiesburg, Mississippi. His current practice location is
415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 579-5210.
Taylor Joseph Mabry is licensed to practice in Mississippi (license number 27668) 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 1154819415.
Physician's Profile
Full Name | Taylor Joseph Mabry |
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Gender | Male |
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Speciality | Allergy & Immunology |
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Location | 415 S 28th Ave, Hattiesburg, Mississippi |
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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: 1154819415
- Provider Enumeration Date: 04/23/2018
- Last Update Date: 04/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274973540
- Enrollment ID: I20240503000450
Medical Identifiers
Medical identifiers for Taylor Joseph Mabry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154819415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207K00000X | Allergy & Immunology | 27668 (Mississippi) | 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. Taylor Joseph Mabry allows following entities to bill medicare on his behalf.
Entity Name | Hattiesburg Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
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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 Joseph Mabry 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 Joseph Mabry, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 264-6000 | Taylor Joseph Mabry, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-5210 |
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