Dr Dominique M Taylor, in Ruidoso, NM - Medicare Nurse Practitioner Provider

Dr Dominique M Taylor, is a medicare enrolled "Nurse Practitioner - Family" provider in Ruidoso, New Mexico. Her current practice location is 208 Porr Dr, Ruidoso, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 315-2256.

Dr Dominique M Taylor is licensed to practice in New Mexico (license number 68631) 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 1306153069.

Contact Information

	Dr Dominique M Taylor,
	208 Porr Dr, Ruidoso, NM 88345-6713
	(575) 315-2256
	(575) 630-2083

Healthcare Provider's Profile

Full Name	Dr Dominique M Taylor
Gender	Female
Speciality	Nurse Practitioner - Family
Location	208 Porr Dr, Ruidoso, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306153069
Provider Enumeration Date: 09/01/2010
Last Update Date: 04/02/2024

Medicare PECOS Information:

PECOS PAC ID: 6406198662
Enrollment ID: I20190508002667

Medical Identifiers

Medical identifiers for Dr Dominique M Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306153069	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	2104 (New Mexico)	Secondary
363LF0000X	Nurse Practitioner - Family	68631 (New Mexico)	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. Dr Dominique M 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
Dr Dominique M Taylor, Po Box 446, Alto, NM 88312-0446 Ph: (575) 315-2256	Dr Dominique M Taylor, 208 Porr Dr, Ruidoso, NM 88345-6713 Ph: (575) 315-2256

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Dr Dominique M Taylor, - Medicare in Ruidoso, NM