Taylor Glaze, PNP in Kathleen, GA - Medicare Nurse Practitioner

Taylor Glaze, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Kathleen, Georgia. Her current practice location is 1114 Ga Highway 96 Ste D3-d5, Kathleen, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 910-1090.

Taylor Glaze is licensed to practice in Georgia (license number RN239691) 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 1437720364.

Contact Information

	Taylor Glaze, PNP
	1114 Ga Highway 96 Ste D3-d5, Kathleen, GA 31047-2111
	(478) 910-1090
	Not Available

Map and Direction

Provider's Profile

Full Name	Taylor Glaze
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1114 Ga Highway 96 Ste D3-d5, Kathleen, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437720364
Provider Enumeration Date: 07/01/2021
Last Update Date: 04/09/2024

Medicare PECOS Information:

PECOS PAC ID: 1557769510
Enrollment ID: I20211006001924

Medical Identifiers

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

Identifier	Type	State	Issuer
1437720364	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0222X	Nurse Practitioner - Pediatrics, Critical Care	RN239691 (Georgia)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	RN239691 (Georgia)	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. Taylor Glaze allows following entities to bill medicare on her behalf.

Entity Name	Central Georgia Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598126641 PECOS PAC ID: 5991004608 Enrollment ID: O20160502001926

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 Glaze 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
Taylor Glaze, PNP 1114 Ga Highway 96 Ste D3-d5, Kathleen, GA 31047-2111 Ph: (478) 910-1090	Taylor Glaze, PNP 1114 Ga Highway 96 Ste D3-d5, Kathleen, GA 31047-2111 Ph: (478) 910-1090

Reviews and Comments

Nurse Practitioner Nurses in Kathleen, GA

Mrs. Tyechia Lewis Hall, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1114 Ga Highway 96 Ste D3-d5, Kathleen, GA 31047 Phone: 478-910-1090
Ashley Nicole Segnou, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 318 Gibson Cir, Kathleen, GA 31047 Phone: 478-484-9521
Jamie Barr, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1114 Ga Highway 96 Ste D3-d5, Kathleen, GA 31047 Phone: 478-910-1090 Fax: 478-910-1091
Ashley Chineque Jackson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 Pearl Moss Ln, Kathleen, GA 31047 Phone: 478-696-2297
Brittany Sanders Dickerson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1114 Ga Highway 96 Ste D3-d5, Kathleen, GA 31047 Phone: 478-910-1090 Fax: 478-910-1091
Mr. Joshua Shane Young, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 659 Old Perry Rd, Kathleen, GA 31047 Phone: 478-230-5340
Christy Ann Gonzalez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 Ga Highway 127, Kathleen, GA 31047 Phone: 478-352-7143 Fax: 478-352-7144

Taylor Glaze, PNP - Medicare Nurse Practitioner in Kathleen, GA