Mackenzie K Taylor, NP | |
2911 Medical Arts St Ste 10, Austin, TX 78705-3302 | |
(866) 473-0663 | |
(866) 473-9370 |
Full Name | Mackenzie K Taylor |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 2911 Medical Arts St Ste 10, Austin, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194281931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 903145 (Mississippi) | Secondary |
363L00000X | Nurse Practitioner | 1115452 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gulf Coast Wound Associates Llc | 2466847744 | 6 |
Entity Name | Access Telecare Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013303080 PECOS PAC ID: 7810204831 Enrollment ID: O20220302000719 |
Entity Name | Gulf Coast Wound Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467118448 PECOS PAC ID: 2466847744 Enrollment ID: O20220323002319 |
Mailing Address | Practice Location Address |
---|---|
Mackenzie K Taylor, NP 1340 Broad Ave Ste 440, Gulfport, MS 39501-2460 Ph: (228) 867-4855 | Mackenzie K Taylor, NP 2911 Medical Arts St Ste 10, Austin, TX 78705-3302 Ph: (866) 473-0663 |
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