Mr Taylor Keith Baucom, PA-C in Little River, SC

Mr Taylor Keith Baucom, PA-C is a medicare enrolled "Physician Assistant" in Little River, South Carolina. His current practice location is 3793 Mcdowell Ln, Medical Park 2, Suite 100, Little River, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 390-0100.

Mr Taylor Keith Baucom is licensed to practice in South Carolina (license number 4861) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891479929.

Contact Information

	Mr Taylor Keith Baucom, PA-C
	3793 Mcdowell Ln, Medical Park 2, Suite 100, Little River, SC 29566
	(843) 390-0100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Taylor Keith Baucom
Gender	Male
Speciality	Physician Assistant
Location	3793 Mcdowell Ln, Little River, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891479929
Provider Enumeration Date: 06/09/2023
Last Update Date: 06/09/2023

Medicare PECOS Information:

PECOS PAC ID: 2163883778
Enrollment ID: I20230731000114

Medical Identifiers

Medical identifiers for Mr Taylor Keith Baucom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891479929	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	4861 (South Carolina)	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. Mr Taylor Keith Baucom 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
Mr Taylor Keith Baucom, PA-C 4917 Campobello Dr, Monroe, NC 28110 Ph: (704) 221-6042	Mr Taylor Keith Baucom, PA-C 3793 Mcdowell Ln, Medical Park 2, Suite 100, Little River, SC 29566 Ph: (843) 390-0100

Reviews and Comments

Physician Assistant Nurses in Little River, SC

Saria Rose Almo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3361 Highway 9 E, Little River, SC 29566 Phone: 843-497-5929 Fax: 866-778-9612
Ms. Heather M Vincent, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4237 River Hills Dr Ste 150, Little River, SC 29566 Phone: 843-281-2778 Fax: 843-281-2785
Maribeth A Carletta, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3600 Sea Mountain Hwy Ste B, Little River, SC 29566 Phone: 843-399-9696
Emily Ahyun Choi-cohen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4000 Highway 9 E, Little River, SC 29566 Phone: 843-390-8133
Mr. Adam W Gedney, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3600 Sea Mountain Hwy Ste C, Little River, SC 29566 Phone: 800-491-0909
Katelyn Marie Mason, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3980 Highway 9 E Ste 300, Little River, SC 29566 Phone: 843-646-8040 Fax: 843-646-8049
Susan B Ferrero, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3600 Sea Mountain Hwy Ste B, Little River, SC 29566 Phone: 843-399-9696

Mr Taylor Keith Baucom, PA-C - Medicare Physician Assistant in Little River, SC