Kristin Sue Anderson-taylor, PA is a medicare enrolled "Physician Assistant - Medical" in Summerville, Georgia. Her current practice location is
411 Orchard Hill Rd, Summerville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 978-9991.
Kristin Sue Anderson-taylor is licensed to practice in Georgia (license number 6019) 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 1396805529.
Provider's Profile
| Full Name | Kristin Sue Anderson-taylor |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 411 Orchard Hill Rd, Summerville, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396805529
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 09/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 9537340286
- Enrollment ID: I20110301000171
Medical Identifiers
Medical identifiers for Kristin Sue Anderson-taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396805529 | NPI | - | NPPES |
| 1396805529 | Medicaid | NY | |
| 1396805529 | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 5601002268 (Michigan) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 022313 (New York) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 6019 (Georgia) | 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. Kristin Sue Anderson-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 Address | Practice Location Address |
|---|
Kristin Sue Anderson-taylor, PA
411 Orchard Hill Rd,
Summerville, GA 30747-6548
Ph: (706) 978-9991 | Kristin Sue Anderson-taylor, PA
411 Orchard Hill Rd,
Summerville, GA 30747-6548
Ph: (706) 978-9991 |
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