Dr Clint T Taylor, OD is a medicare enrolled "Optometrist" provider in Carmi, Illinois. He went to Indiana University - School Of Optometry and graduated in 2005 and has 19 years of diverse experience with area of expertise as Optometry. His current practice location is
1684 Falcon Ave, Carmi, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 382-4683.
Dr Clint T Taylor is licensed to practice in Illinois (license number 046-009761) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811931769.
Healthcare Provider's Profile
Full Name | Dr Clint T Taylor |
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Gender | Male |
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Speciality | Optometry |
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Experience | 19 Years |
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Location | 1684 Falcon Ave, Carmi, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Clint T Taylor attended and graduated from Indiana University - School Of Optometry in 2005
NPI Data:
- NPI Number: 1811931769
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 10/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658302609
- Enrollment ID: I20050831000128
Medical Identifiers
Medical identifiers for Dr Clint T Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811931769 | NPI | - | NPPES |
203086173-62821-01 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 046-009761 (Illinois) | 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. Dr Clint T Taylor allows following entities to bill medicare on his behalf.
Provider Name | Clint T Taylor Od Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1245410281 PECOS PAC ID: 5294766242 Enrollment ID: O20050830000059 |
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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. Dr Clint T 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 |
Dr Clint T Taylor, OD 1684 Falcon Ave, Carmi, IL 62821-1370 Ph: (618) 382-4683 | Dr Clint T Taylor, OD 1684 Falcon Ave, Carmi, IL 62821-1370 Ph: (618) 382-4683 |
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