Shannon Stark Taylor, PHD in Greenville, SC - Medicare Psychologist Provider

Shannon Stark Taylor, PHD is a medicare enrolled "Psychologist - Clinical" provider in Greenville, South Carolina. Her current practice location is 877 W Faris Rd, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 455-7800.

Shannon Stark Taylor is licensed to practice in South Carolina (license number 1479) 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 1275046567.

Contact Information

	Shannon Stark Taylor, PHD
	877 W Faris Rd, Greenville, SC 29605-4289
	(864) 455-7800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Stark Taylor
Gender	Female
Speciality	Psychologist - Clinical
Location	877 W Faris Rd, Greenville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275046567
Provider Enumeration Date: 11/09/2017
Last Update Date: 06/01/2021

Medicare PECOS Information:

PECOS PAC ID: 2163785346
Enrollment ID: I20180423001194

Medical Identifiers

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

Identifier	Type	State	Issuer
1275046567	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1479 (South Carolina)	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. Shannon Stark Taylor allows following entities to bill medicare on her behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

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. Shannon Stark 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
Shannon Stark Taylor, PHD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: () -	Shannon Stark Taylor, PHD 877 W Faris Rd, Greenville, SC 29605-4289 Ph: (864) 455-7800

Reviews and Comments

Psychologist in Greenville, SC

Julie Anne Mcelrath, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Patewood Dr Ste A200, Greenville, SC 29615 Phone: 864-454-5115 Fax: 864-454-5111
Dr. Davis Brigman, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 30 Patewood Dr Ste 160, Greenville, SC 29615 Phone: 843-501-1099
Dr. Suzanne Claycomb Brown, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1400
Craig Douglas Young, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7000
Hannah Lee Thompson, LPES Psychologist Medicare: Not Enrolled in Medicare Practice Location: 117 Hicks Rd, Greenville, SC 29605 Phone: 864-313-9332
Sheldon Lyle Herring, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Augusta St, Greenville, SC 29601 Phone: 864-455-2600 Fax: 864-455-2621
Nicholas Beck, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 127 W Antrim Dr, Greenville, SC 29607 Phone: 864-239-4110

Shannon Stark Taylor, PHD - Medicare Psychologist in Greenville, SC