Traci Taylor, | |
3140 Hummer Lake Rd, Ortonville, MI 48462-9721 | |
(586) 552-7094 | |
Not Available |
Full Name | Traci Taylor |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 3140 Hummer Lake Rd, Ortonville, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811514003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F06202534 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Beaumont Hospital, Troy | Troy, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tri-county Medical Clinic Pc | 1355326885 | 8 |
Entity Name | Tri-county Medical Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639264344 PECOS PAC ID: 1355326885 Enrollment ID: O20040621000304 |
Mailing Address | Practice Location Address |
---|---|
Traci Taylor, 3140 Hummer Lake Rd, Ortonville, MI 48462-9721 Ph: (586) 552-7094 | Traci Taylor, 3140 Hummer Lake Rd, Ortonville, MI 48462-9721 Ph: (586) 552-7094 |
Shelly Marie Oles, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1143 Oakwood Rd, Ortonville, MI 48462 Phone: 248-627-2357 | |
Baylie Dynell Bettinger, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 N Ortonville Rd, Ortonville, MI 48462 Phone: 248-793-7713 | |
Sandra Sherer, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12280 Ray Rd, Ortonville, MI 48462 Phone: 248-467-7755 | |
Matthew David Roth, MSN FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 540 Douglaston Dr, Ortonville, MI 48462 Phone: 248-390-7392 | |
Lynn Sandford Victoria Walls, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 481 Aarons Way, Ortonville, MI 48462 Phone: 248-660-6497 |