Taylor Extine, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Owens Cross Roads, Alabama. Her current practice location is
4719 Slalom Run Se, Owens Cross Roads, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 541-6493.
Taylor Extine is licensed to practice in Alabama (license number 1-171968) 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 1619645025.
Provider's Profile
Full Name | Taylor Extine |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 4719 Slalom Run Se, Owens Cross Roads, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619645025
- Provider Enumeration Date: 08/31/2021
- Last Update Date: 06/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355886748
- Enrollment ID: I20240710000640
Medical Identifiers
Medical identifiers for Taylor Extine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619645025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 1-171968 (Alabama) | 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 Extine allows following entities to bill medicare on her behalf.
Entity Name | Huntsville Hospital Anesthesia |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851321079 PECOS PAC ID: 7315990751 Enrollment ID: O20050225000538 |
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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 Extine 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 Extine, RN 4719 Slalom Run Se, Owens Cross Roads, AL 35763-8712 Ph: (256) 541-6493 | Taylor Extine, RN 4719 Slalom Run Se, Owens Cross Roads, AL 35763-8712 Ph: (256) 541-6493 |
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