Ms Telisa Taylor, NP in Pembroke, MA - Medicare Nurse Practitioner

Ms Telisa Taylor, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pembroke, Massachusetts. Her current practice location is 199 Oak St, Pembroke, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (202) 528-7595.

Ms Telisa Taylor is licensed to practice in Maryland (license number R180238) 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 1609530807.

Contact Information

	Ms Telisa Taylor, NP
	199 Oak St, Pembroke, MA 02359-1912
	(202) 528-7595
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Telisa Taylor
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	199 Oak St, Pembroke, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609530807
Provider Enumeration Date: 10/25/2021
Last Update Date: 04/14/2022

Medicare PECOS Information:

PECOS PAC ID: 8628469723
Enrollment ID: I20211228001895

Medical Identifiers

Medical identifiers for Ms Telisa Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609530807	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R180238 (Maryland)	Primary

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 Telisa Taylor allows following entities to bill medicare on her behalf.

Entity Name	Uhs Of Westwood Pembroke Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760453328 PECOS PAC ID: 6204740947 Enrollment ID: O20031117000702

Entity Name	The Commonwealth Of Massachusetts
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194803288 PECOS PAC ID: 8820906860 Enrollment ID: O20040928000190

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 Telisa 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 Telisa Taylor, NP 173 St Patrick Drive Ste 104, #114, Waldorf, MD 20603 Ph: (202) 528-7595	Ms Telisa Taylor, NP 199 Oak St, Pembroke, MA 02359-1912 Ph: (202) 528-7595

Reviews and Comments

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Rebecca E. Graziano, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28 Riverside Dr, Pembroke, MA 02359 Phone: 781-826-8065 Fax: 781-826-8043

Ms Telisa Taylor, NP - Medicare Nurse Practitioner in Pembroke, MA