Taylor Perry Davine, PHD in Brookfield, WI - Medicare Psychologist Provider

Taylor Perry Davine, PHD is a medicare enrolled "Psychologist" provider in Brookfield, Wisconsin. His current practice location is 250 N Sunny Slope Rd Ste 203, Brookfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 782-2820.

Taylor Perry Davine is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275142465.

Contact Information

	Taylor Perry Davine, PHD
	250 N Sunny Slope Rd Ste 203, Brookfield, WI 53005-4824
	(262) 782-2820
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Taylor Perry Davine
Gender	Male
Speciality	Psychologist
Location	250 N Sunny Slope Rd Ste 203, Brookfield, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275142465
Provider Enumeration Date: 07/23/2020
Last Update Date: 07/23/2020

Medicare PECOS Information:

PECOS PAC ID: 6406222009
Enrollment ID: I20221024001181

Medical Identifiers

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

Identifier	Type	State	Issuer
1275142465	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	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 Perry Davine allows following entities to bill medicare on his behalf.

Entity Name	Center For Behavioral Medicine Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578515417 PECOS PAC ID: 2567488323 Enrollment ID: O20051020000635

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 Perry Davine 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 Perry Davine, PHD 250 N Sunny Slope Rd Ste 203, Brookfield, WI 53005-4824 Ph: (262) 782-2820	Taylor Perry Davine, PHD 250 N Sunny Slope Rd Ste 203, Brookfield, WI 53005-4824 Ph: (262) 782-2820

Reviews and Comments

Psychologist in Brookfield, WI

Dr. Kathleen M Schoendorf, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12690 W North Avenue, Elmbrook Family Counseling Center, Brookfield, WI 53005 Phone: 262-785-9188 Fax: 262-785-0644
Dr. Stephen Gary Levine, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17100 W Bluemound Rd, Suite 204, Brookfield, WI 53005 Phone: 262-391-5780 Fax: 262-754-3712
Dr. Rachel A. Roeglin, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-789-1191
Kathleen Gehl, PSYD, NP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13965 W Burleigh Rd, Brookfield, WI 53005 Phone: 262-785-6002 Fax: 262-785-2773
Dr. Stephen Martin Saunders, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd, Suite Number 200, Brookfield, WI 53005 Phone: 262-542-3255
Susan Eileen Donahoo, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 660 Woelfel Rd, Brookfield, WI 53045 Phone: 262-789-8089
Madeline Bliske, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-789-1191

Taylor Perry Davine, PHD - Medicare Psychologist in Brookfield, WI