Michael Lee Taylor, is a
Student In An Organized Health Care Education/training Program based in Fairfield, California. Michael Lee Taylor is licensed to practice in * (Not Available) (license number ) and his current practice location is
2101 Courage Dr, Fairfield, California. He can be reached at his office (for appointments etc.) via phone at
(707) 784-2080.
NPI number for Michael Lee Taylor is 1154946804 and his current mailing address is 1235 Cornell Ct, Dixon, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154946804.
Healthcare Provider's Profile
| Full Name | Michael Lee Taylor |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2101 Courage Dr, Fairfield, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154946804
- Provider Enumeration Date: 06/09/2020
- Last Update Date: 10/03/2023
Medical Identifiers
Medical identifiers for Michael Lee Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154946804 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Michael Lee Taylor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Lee Taylor,
1235 Cornell Ct,
Dixon, CA 95620-4892
Ph: (925) 446-5382 | Michael Lee Taylor,
2101 Courage Dr,
Fairfield, CA 94533-6717
Ph: (707) 784-2080 |
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