Shannon Rae Taylor, APN in Russellville, AR - Medicare Nurse Practitioner

Shannon Rae Taylor, APN is a medicare enrolled "Nurse Practitioner" in Russellville, Arkansas. Her current practice location is 550 Carothers Ln, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 747-7913.

Shannon Rae Taylor is licensed to practice in Arkansas (license number A005875) 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 1952882227.

Contact Information

	Shannon Rae Taylor, APN
	550 Carothers Ln, Russellville, AR 72802-8231
	(479) 747-7913
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Rae Taylor
Gender	Female
Speciality	Nurse Practitioner
Location	550 Carothers Ln, Russellville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952882227
Provider Enumeration Date: 08/24/2018
Last Update Date: 12/21/2020

Medicare PECOS Information:

PECOS PAC ID: 9436494655
Enrollment ID: I20181217001808

Medical Identifiers

Medical identifiers for Shannon Rae Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952882227	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A005875 (Arkansas)	Secondary
363L00000X	Nurse Practitioner	A005875 (Arkansas)	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. Shannon Rae Taylor allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201

Entity Name	Southeastern Emergency Services P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20070301000532

Entity Name	Urgent Team Of Arkansas Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992041370 PECOS PAC ID: 1850539198 Enrollment ID: O20130529000209

Entity Name	Arkansas Emergency Physician Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720529498 PECOS PAC ID: 7911284500 Enrollment ID: O20170509001162

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. Shannon Rae 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
Shannon Rae Taylor, APN 550 Carothers Ln, Russellville, AR 72802-8231 Ph: (479) 747-7913	Shannon Rae Taylor, APN 550 Carothers Ln, Russellville, AR 72802-8231 Ph: (479) 747-7913

Reviews and Comments

Nurse Practitioner Nurses in Russellville, AR

Karen Michelle Branch, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2210 W Main St, Russellville, AR 72801 Phone: 479-968-8940 Fax: 479-968-8901
Ashley Mccoy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 S Portland Ave, Russellville, AR 72801 Phone: 501-906-0000
Mrs. Ashley Nichole Bennett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841
Kristy Hogan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 W O St, Dean Hall, Room 126, Russellville, AR 72801 Phone: 479-368-0329
Ms. Candace Darlene Welcher, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-2467
Margaret Danielle Mullins-moats, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3812 W Main St., Russellville, AR 72801 Phone: 479-968-1245
Lindsey Sharp, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-964-2198

Shannon Rae Taylor, APN - Medicare Nurse Practitioner in Russellville, AR