Taylor Nicole Gonzalez, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Senoia, Georgia. Her current practice location is
7990 Wells St Ste 100, Senoia, Georgia. You can reach out to her office (for appointments etc.) via phone at
(470) 947-6010.
Taylor Nicole Gonzalez is licensed to practice in Georgia (license number RN300120) 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 1235971755.
Physician's Profile
Full Name | Taylor Nicole Gonzalez |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 7990 Wells St Ste 100, Senoia, Georgia |
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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: 1235971755
- Provider Enumeration Date: 06/07/2024
- Last Update Date: 01/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092252122
- Enrollment ID: I20240806003824
Medical Identifiers
Medical identifiers for Taylor Nicole Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235971755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | RN300120 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN300120 (Georgia) | 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 Nicole Gonzalez allows following entities to bill medicare on her behalf.
Entity Name | Piedmont Medical Care Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500 |
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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 Nicole Gonzalez 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 Nicole Gonzalez, NP 7990 Wells St Ste 100, Senoia, GA 30276-2267 Ph: (678) 675-3676 | Taylor Nicole Gonzalez, NP 7990 Wells St Ste 100, Senoia, GA 30276-2267 Ph: (470) 947-6010 |
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