Ms Jennie Taylor, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Klawock, Alaska. 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 Southeast Alaska Regional Health Consortium and her current practice location is
7300 Klawock Hollis Highway, Alicia Roberts Medical Center, Klawock, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 755-4929.
Ms Jennie Taylor is licensed to practice in Alaska (license number 170962) 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 1801486410.
Provider's Profile
Full Name | Ms Jennie Taylor |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 4 Years |
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Location | 7300 Klawock Hollis Highway, Klawock, Alaska |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Jennie Taylor graduated from nursing school in 2020
NPI Data:
- NPI Number: 1801486410
- Provider Enumeration Date: 01/19/2021
- Last Update Date: 01/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476969577
- Enrollment ID: I20220120000156
Medical Identifiers
Medical identifiers for Ms Jennie Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801486410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 170962 (Alaska) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southeast Alaska Regional Health Consortium | 1456265362 | 263 |
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. Ms Jennie Taylor allows following entities to bill medicare on her behalf.
Entity Name | Southeast Alaska Regional Health Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376758037 PECOS PAC ID: 1456265362 Enrollment ID: O20031114000631 |
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Entity Name | Ketchikan Indian Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821120486 PECOS PAC ID: 8426043761 Enrollment ID: O20050623000335 |
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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. Ms Jennie 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 |
Ms Jennie Taylor, APRN, PMHNP-BC Po Box 19518, Thorne Bay, AK 99919-0518 Ph: () - | Ms Jennie Taylor, APRN, PMHNP-BC 7300 Klawock Hollis Highway, Alicia Roberts Medical Center, Klawock, AK 99925 Ph: (907) 755-4929 |
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