Mrs Kathryn Diane Taillie, PA-C is a medicare enrolled "Physician Assistant" in Wauwatcsa, Wisconsin. Her current practice location is
2885 N Mayfair Rd, Wauwatcsa, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 771-6780.
Mrs Kathryn Diane Taillie is licensed to practice in Illinois (license number 085.006036) 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 1982146213.
Provider's Profile
Full Name | Mrs Kathryn Diane Taillie |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2885 N Mayfair Rd, Wauwatcsa, Wisconsin |
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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: 1982146213
- Provider Enumeration Date: 11/17/2016
- Last Update Date: 04/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 0345585014
- Enrollment ID: I20181227002227
Medical Identifiers
Medical identifiers for Mrs Kathryn Diane Taillie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982146213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085.006036 (Illinois) | Primary |
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. Mrs Kathryn Diane Taillie 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 |
Mrs Kathryn Diane Taillie, PA-C 10001 W Innovation Dr Ste 200, Milwaukee, WI 53226-4851 Ph: (414) 771-6780 | Mrs Kathryn Diane Taillie, PA-C 2885 N Mayfair Rd, Wauwatcsa, WI 53222-4404 Ph: (414) 771-6780 |
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