Taylor Wilson, PT in Crystal Springs, MS - Medicare Physical Therapist Provider

Taylor Wilson, PT is a medicare enrolled "Physical Therapist" provider in Crystal Springs, Mississippi. Her current practice location is 102 W Railroad Ave N, Crystal Springs, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 647-9010.

Taylor Wilson is licensed to practice in Mississippi (license number PT7299) 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 1366170185.

Contact Information

	Taylor Wilson, PT
	102 W Railroad Ave N, Crystal Springs, MS 39059-2154
	(601) 647-9010
	(601) 647-9011

Map and Direction

Healthcare Provider's Profile

Full Name	Taylor Wilson
Gender	Female
Speciality	Physical Therapist
Location	102 W Railroad Ave N, Crystal Springs, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366170185
Provider Enumeration Date: 08/10/2022
Last Update Date: 08/10/2022

Medicare PECOS Information:

PECOS PAC ID: 0042686826
Enrollment ID: I20221019001662

Medical Identifiers

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

Identifier	Type	State	Issuer
1366170185	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT7299 (Mississippi)	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 Wilson allows following entities to bill medicare on her behalf.

Provider Name	Performance Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851427132 PECOS PAC ID: 7012971047 Enrollment ID: O20041118000549

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 Wilson 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 Wilson, PT 921 W Beacon St, Philadelphia, MS 39350-3229 Ph: (601) 650-0002	Taylor Wilson, PT 102 W Railroad Ave N, Crystal Springs, MS 39059-2154 Ph: (601) 647-9010

Reviews and Comments

Physical Therapist in Crystal Springs, MS

Cynthia Tronstad, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 117 Bo Bo Dr, Crystal Springs, MS 39059 Phone: 601-892-6330 Fax: 601-892-6331
Kaleb Delton Smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 117 Bo Bo Dr, Crystal Springs, MS 39059 Phone: 601-892-6330 Fax: 601-892-6331
Amber Gail Mccullum, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 512 Harmony Rd, Crystal Springs, MS 39059 Phone: 601-750-7180
Mrs. Tonya G Mclendon, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 W Railroad Ave N, Crystal Springs, MS 39059 Phone: 601-892-8707 Fax: 601-892-7614
Shirley Moncure, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 Bo Bo Dr, Crystal Springs, MS 39059 Phone: 601-892-6330
Kara Marie Hudson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 Bo Bo Dr, Crystal Springs, MS 39059 Phone: 601-892-6330 Fax: 601-892-6331

Taylor Wilson, PT - Medicare Physical Therapist in Crystal Springs, MS