Cheryl Ellen Taylor, MA EDS is a medicare enrolled "Psychologist - Clinical" provider in Bluefield, West Virginia. Her current practice location is
1333 Southview Drive, Bluefield, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 325-4673.
Cheryl Ellen Taylor is licensed to practice in West Virginia (license number 997) 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 1275860462.
Healthcare Provider's Profile
Full Name | Cheryl Ellen Taylor |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 1333 Southview Drive, Bluefield, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275860462
- Provider Enumeration Date: 11/09/2009
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658513445
- Enrollment ID: I20130807000341
Medical Identifiers
Medical identifiers for Cheryl Ellen Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275860462 | NPI | - | NPPES |
3810016308 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 0 (West Virginia) | Secondary |
103TC0700X | Psychologist - Clinical | 997 (West Virginia) | Primary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 997 (* (Not Available)) | Secondary |
103TB0200X | Psychologist - Cognitive & Behavioral | 997 (* (Not Available)) | Secondary |
103TC1900X | Psychologist - Counseling | 997 (West Virginia) | Secondary |
103TF0000X | Psychologist - Family | 997 (* (Not Available)) | Secondary |
103TF0200X | Psychologist - Forensic | 997 (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 997 (* (Not Available)) | Secondary |
103TF0200X | Psychologist - Forensic | 997 (West Virginia) | Secondary |
103TP2701X | Psychologist - Group Psychotherapy | 997 (West Virginia) | Secondary |
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 997 (West Virginia) | Secondary |
103T00000X | Psychologist | 997 (West Virginia) | Secondary |
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. Cheryl Ellen Taylor allows following entities to bill medicare on her behalf.
Entity Name | Princeton Community Hospital Assn. Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093917643 PECOS PAC ID: 3678482221 Enrollment ID: O20031211000436 |
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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. Cheryl Ellen 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 |
Cheryl Ellen Taylor, MA EDS 118 12th Street, Princeton, WV 24740-2352 Ph: (304) 487-7936 | Cheryl Ellen Taylor, MA EDS 1333 Southview Drive, Bluefield, WV 24701-4317 Ph: (304) 325-4673 |
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