Mrs Tanner Nichole Taylor, OD in Green Bay, WI - Medicare Optometrist Provider

Mrs Tanner Nichole Taylor, OD is a medicare enrolled "Optometrist" provider in Green Bay, Wisconsin. Her current practice location is 2621 S Oneida St, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 499-3511.

Mrs Tanner Nichole Taylor is licensed to practice in Wisconsin (license number 3806-35) 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 1316674625.

Contact Information

	Mrs Tanner Nichole Taylor, OD
	2621 S Oneida St, Green Bay, WI 54304-5793
	(920) 499-3511
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tanner Nichole Taylor
Gender	Female
Speciality	Optometrist
Location	2621 S Oneida St, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316674625
Provider Enumeration Date: 08/05/2022
Last Update Date: 09/26/2022

Medicare PECOS Information:

PECOS PAC ID: 8123403508
Enrollment ID: I20220921001889

Medical Identifiers

Medical identifiers for Mrs Tanner Nichole Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316674625	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3806-35 (Wisconsin)	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. Mrs Tanner Nichole Taylor allows following entities to bill medicare on her behalf.

Provider Name	Shoptikal Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659937159 PECOS PAC ID: 1456684471 Enrollment ID: O20190606001553

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. Mrs Tanner Nichole 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
Mrs Tanner Nichole Taylor, OD 2621 S Oneida St Ste 104, Green Bay, WI 54304-5793 Ph: (920) 499-3511	Mrs Tanner Nichole Taylor, OD 2621 S Oneida St, Green Bay, WI 54304-5793 Ph: (920) 499-3511

Reviews and Comments

Optometrist in Green Bay, WI

Brad J Lavallie, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005
Gregory N Hubertus, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 550 N Military Ave, Ste 10, Green Bay, WI 54303 Phone: 920-498-2020 Fax: 920-498-2269
April Kathleen Swim, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2793 Lineville Rd, Green Bay, WI 54313 Phone: 920-496-4700 Fax: 920-496-4705
Dr. Michelle Marie Mueller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 216 S Military Ave, Green Bay, WI 54303 Phone: 920-494-3384
Dr. James Leigh Elm, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2811 S Oneida St, Green Bay, WI 54304 Phone: 920-496-9699 Fax: 920-496-1540
Paye Eye Care Center Sc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1515 Sixth St, Green Bay, WI 54304 Phone: 920-499-2147 Fax: 920-499-0574
Teresa Elm, Optometrist Medicare: Medicare Enrolled Practice Location: 2811 S Oneida St, Green Bay, WI 54304 Phone: 920-496-9699 Fax: 920-496-1540

Mrs Tanner Nichole Taylor, OD - Medicare Optometrist in Green Bay, WI