Travis Taylor, APRN, PMHNP in Winter Park, FL

Travis Taylor, APRN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Winter Park, Florida. His current practice location is 225 W Canton Ave Ste 600, Winter Park, Florida. You can reach out to his office (for appointments etc.) via phone at (812) 901-6881.

Travis Taylor is licensed to practice in Florida (license number APRN11022346) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053903245.

Contact Information

	Travis Taylor, APRN, PMHNP
	225 W Canton Ave Ste 600, Winter Park, FL 32789-3181
	(812) 901-6881
	Not Available

Map and Direction

Provider's Profile

Full Name	Travis Taylor
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	225 W Canton Ave Ste 600, Winter Park, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053903245
Provider Enumeration Date: 02/09/2021
Last Update Date: 06/06/2023

Medicare PECOS Information:

PECOS PAC ID: 2163891037
Enrollment ID: I20221215002121

Medical Identifiers

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

Identifier	Type	State	Issuer
1053903245	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN9543559 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11022346 (Florida)	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. Travis Taylor allows following entities to bill medicare on his behalf.

Entity Name	Lake Substance Abuse Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124598669 PECOS PAC ID: 8123440401 Enrollment ID: O20200715001084

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. Travis 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
Travis Taylor, APRN, PMHNP 8300 Red Bug Lake Rd, Oviedo, FL 32765-6801 Ph: () -	Travis Taylor, APRN, PMHNP 225 W Canton Ave Ste 600, Winter Park, FL 32789-3181 Ph: (812) 901-6881

Reviews and Comments

Nurse Practitioner Nurses in Winter Park, FL

Naina Sebastian, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3695 Bear Gully Rd # 3695, Winter Park, FL 32792 Phone: 407-782-3288
Mary Catherine Lucy Hansen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 N Virginia Dr, Winter Park, FL 32789 Phone: 407-599-3434 Fax: 407-599-3438
Thuy Anh Lai, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 839 N Orlando Ave, Winter Park, FL 32789 Phone: 407-647-1862
Mr. Jared Scott Levine, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Mizell Ave Ste 1600a, Winter Park, FL 32792 Phone: 407-646-7380 Fax: 407-646-7381
Nataliya Goldenberg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 W Canton Ave, Winter Park, FL 32789 Phone: 415-994-7289
Mrs. Sandra Ruby Weisstein, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Holt Ave, 2727, Winter Park, FL 32789 Phone: 407-646-2512
Mrs. Rachel Gainsford, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1605 W Fairbanks Ave, Winter Park, FL 32789 Phone: 407-975-0200 Fax: 407-975-0209

Travis Taylor, APRN, PMHNP - Medicare Nurse Practitioner in Winter Park, FL