Taylor Mizell Stukes Duffin, MD in Charlotte, NC

Taylor Mizell Stukes Duffin, MD is a medicare enrolled "Pediatrics" physician in Charlotte, North Carolina. Her current practice location is 2400 South Blvd Ste 200, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 774-3024.

Taylor Mizell Stukes Duffin is licensed to practice in North Carolina (license number 2018-00778) 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 1649667585.

Contact Information

	Taylor Mizell Stukes Duffin, MD
	2400 South Blvd Ste 200, Charlotte, NC 28203-5773
	(704) 774-3024
	(704) 774-3025

Map and Direction

Physician's Profile

Full Name	Taylor Mizell Stukes Duffin
Gender	Female
Speciality	Pediatrics
Location	2400 South Blvd Ste 200, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649667585
Provider Enumeration Date: 04/17/2015
Last Update Date: 11/21/2023

Medicare PECOS Information:

PECOS PAC ID: 0941510788
Enrollment ID: I20180726002302

Medical Identifiers

Medical identifiers for Taylor Mizell Stukes Duffin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649667585	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	86238 (South Carolina)	Secondary
208000000X	Pediatrics	A166799 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208000000X	Pediatrics	2018-00778 (North Carolina)	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 Mizell Stukes Duffin allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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 Mizell Stukes Duffin 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 Mizell Stukes Duffin, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Taylor Mizell Stukes Duffin, MD 2400 South Blvd Ste 200, Charlotte, NC 28203-5773 Ph: (704) 774-3024

Reviews and Comments

Pediatrics Doctors in Charlotte, NC

Kristina Jasmin Harrell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1422
Amanda Marie Sebring, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840
Fnu Pardeep, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277 Phone: 704-667-2600
Nicole Ludmil Ivanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9908 Couloak Dr, Ste 103, Charlotte, NC 28216 Phone: 704-801-2025
Dr. Kathy Garland Mohanty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 350, Charlotte, NC 28210 Phone: 704-384-8600 Fax: 704-384-8610
Dr. Meredith Givens Pochick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3129 Springbank Ln Ste 100, Charlotte, NC 28226 Phone: 704-384-5151 Fax: 704-316-2905
Donald Shelton Chapman Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 231 S Sharon Amity Rd, Charlotte, NC 28211 Phone: 704-304-6400

Taylor Mizell Stukes Duffin, MD - Medicare Pediatrics in Charlotte, NC