Taylor Adrian, NP is a medicare enrolled "Hospitalist" in Michigan City, Indiana. 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 Clarksville Physician Services Pc and her current practice location is
3500 Franciscan Way, Michigan City, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 879-8511.
Taylor Adrian is licensed to practice in Indiana (license number 71011985A) 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 1811652431.
Provider's Profile
| Full Name | Taylor Adrian |
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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 | 3500 Franciscan Way, Michigan City, Indiana |
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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. |
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Medical Education and Training:
- Taylor Adrian graduated from nursing school in 2020
NPI Data:
- NPI Number: 1811652431
- Provider Enumeration Date: 11/08/2021
- Last Update Date: 08/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931599776
- Enrollment ID: I20211209001181
Medical Identifiers
Medical identifiers for Taylor Adrian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811652431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 28215885A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71011985A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 71011985A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Clarksville Physician Services Pc | 3476937756 | 37 |
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. Taylor Adrian allows following entities to bill medicare on her behalf.
| Entity Name | App Of Indiana Ed, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740822212
PECOS PAC ID: 2961835400
Enrollment ID: O20191213001639 |
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| Entity Name | App Of Indiana Hm, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578105946
PECOS PAC ID: 8921432451
Enrollment ID: O20191216002658 |
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| Entity Name | Clarksville Emergency Group, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023487154
PECOS PAC ID: 6507277423
Enrollment ID: O20201125002335 |
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| Entity Name | Clarksville Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811629546
PECOS PAC ID: 3476937756
Enrollment ID: O20220906001693 |
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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. Taylor Adrian 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 |
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Taylor Adrian, NP
Po Box 781076,
Detroit, MI 48278-1076
Ph: (317) 528-4800 | Taylor Adrian, NP
3500 Franciscan Way,
Michigan City, IN 46360-0021
Ph: (219) 879-8511 |
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