Mrs Kakecha Tiwana Taylor, FNP in Southaven, MS

Mrs Kakecha Tiwana Taylor, FNP is a medicare enrolled "Nurse Practitioner - Family" in Southaven, Mississippi. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Goode Provider, Fast Pace Mississippi Pllc, Goode Provider and her current practice location is 1161 Church Rd W, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 253-1067.

Mrs Kakecha Tiwana Taylor is licensed to practice in Mississippi (license number 904746) 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 1447478342.

Contact Information

	Mrs Kakecha Tiwana Taylor, FNP
	1161 Church Rd W, Southaven, MS 38671
	(662) 253-1067
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kakecha Tiwana Taylor
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1161 Church Rd W, Southaven, Mississippi
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:

Mrs Kakecha Tiwana Taylor graduated from nursing school in 2018

NPI Data:

NPI Number: 1447478342
Provider Enumeration Date: 04/23/2007
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 6800284100
Enrollment ID: I20211019000571

Medical Identifiers

Medical identifiers for Mrs Kakecha Tiwana Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447478342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	29839 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	904746 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Goode Provider	1355694779	2
Fast Pace Mississippi Pllc	3678832029	142
Goode Provider	1355694779	2

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. Mrs Kakecha Tiwana Taylor allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

Entity Name	Goode Provider
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225527989 PECOS PAC ID: 1355694779 Enrollment ID: O20210630001273

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 Kakecha Tiwana 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
Mrs Kakecha Tiwana Taylor, FNP 5504 Deer Trail Cv, Southaven, MS 38672-9307 Ph: (662) 832-1878	Mrs Kakecha Tiwana Taylor, FNP 1161 Church Rd W, Southaven, MS 38671 Ph: (662) 253-1067

Reviews and Comments

Nurse Practitioner Nurses in Southaven, MS

Mr. Nathaniel Levi Bump, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 6, Southaven, MS 38671 Phone: 662-470-7549 Fax: 269-906-2006
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457
Christopher Gully, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620

Mrs Kakecha Tiwana Taylor, FNP - Medicare Nurse Practitioner in Southaven, MS