Taylor D Altom, ST is a medicare enrolled "Speech-language Pathologist" provider in Marlow, Oklahoma. Her current practice location is
103 W Main St, Marlow, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 721-7100.
Taylor D Altom is licensed to practice in Oklahoma (license number 23124) 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 1861247207.
Healthcare Provider's Profile
| Full Name | Taylor D Altom |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 103 W Main St, Marlow, Oklahoma |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1861247207
- Provider Enumeration Date: 04/19/2024
- Last Update Date: 04/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446796247
- Enrollment ID: I20240729000145
Medical Identifiers
Medical identifiers for Taylor D Altom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861247207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 23124 (Oklahoma) | 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 D Altom allows following entities to bill medicare on her behalf.
| Provider Name | Blue Rock Health And Wellness Llc |
|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1578046827
PECOS PAC ID: 7618221375
Enrollment ID: O20181115000599 |
|---|
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 D Altom 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 D Altom, ST
103 W Main St,
Marlow, OK 73055-2437
Ph: (580) 721-7100 | Taylor D Altom, ST
103 W Main St,
Marlow, OK 73055-2437
Ph: (580) 721-7100 |
Reviews and Comments