Angenette Shane Taylor, CNP - Medicare Nurse Practitioner in Dallas, TX

Angenette Shane Taylor, CNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Dallas, Texas. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Grady Memorial Hospital Corporation and her current practice location is 4055 Valley View Ln Ste 700, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 715-3800.

Angenette Shane Taylor is licensed to practice in Michigan (license number 4704250947) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760081871.

Contact Information

Angenette Shane Taylor, CNP
4055 Valley View Ln Ste 700,
Dallas, TX 75244-5045
(972) 715-3800
Not Available

Map and Direction




Provider's Profile

Full NameAngenette Shane Taylor
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location4055 Valley View Ln Ste 700, Dallas, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Angenette Shane Taylor graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1760081871
  • Provider Enumeration Date: 10/20/2020
  • Last Update Date: 10/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7517373947
  • Enrollment ID: I20220620001339

Medical Identifiers

Medical identifiers for Angenette Shane Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760081871NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 4704250947 (Michigan)Primary
363LA2100XNurse Practitioner - Acute Care 4704250947 (Michigan)Secondary
363LG0600XNurse Practitioner - Gerontology RN156114 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grady Memorial HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grady Memorial Hospital Corporation7517032998262

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. Angenette Shane Taylor allows following entities to bill medicare on her behalf.
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311

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. Angenette Shane 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 AddressPractice Location Address
Angenette Shane Taylor, CNP
4055 Valley View Ln Ste 400,
Dallas, TX 75244-5071

Ph: (972) 715-3800
Angenette Shane Taylor, CNP
4055 Valley View Ln Ste 700,
Dallas, TX 75244-5045

Ph: (972) 715-3800

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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