Dr David Provosty Taylor Jr, MD - Medicare Obstetrics/gynecology in Gulfport, MS

Dr David Provosty Taylor Jr, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Gulfport, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Memorial Hospital At Gulfport, Ochsner Mississippi, Llc and his current practice location is 4502 Old Pass Rd, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 863-9977.

Dr David Provosty Taylor Jr is licensed to practice in Mississippi (license number 23293) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508186990.

Contact Information

Dr David Provosty Taylor Jr, MD
4502 Old Pass Rd,
Gulfport, MS 39501
(228) 863-9977
(228) 863-9912



Physician's Profile

Full NameDr David Provosty Taylor Jr
GenderMale
SpecialityObstetrics/gynecology
Experience15 Years
Location4502 Old Pass Rd, Gulfport, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr David Provosty Taylor Jr attended and graduated from University Of Mississippi School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1508186990
  • Provider Enumeration Date: 06/08/2010
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547409294
  • Enrollment ID: I20151002001868

Medical Identifiers

Medical identifiers for Dr David Provosty Taylor Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508186990NPI-NPPES
R10473MedicaidAL
03604211MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 23293 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hospital At Gulfport2466524012376
Ochsner Mississippi, Llc0143580993113

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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. Dr David Provosty Taylor Jr allows following entities to bill medicare on his behalf.
Entity NameMemorial Hospital At Gulfport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215546635
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396

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Entity NameOchsner Mississippi, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538674239
PECOS PAC ID: 0143580993
Enrollment ID: O20180216000366

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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 David Provosty Taylor Jr 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 AddressPractice Location Address
Dr David Provosty Taylor Jr, MD
4502 Old Pass Rd,
Gulfport, MS 39501

Ph: (228) 863-9977
Dr David Provosty Taylor Jr, MD
4502 Old Pass Rd,
Gulfport, MS 39501

Ph: (228) 863-9977

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Obstetrics & Gynecology Doctors in Gulfport, MS

Jonathan David Jones, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 4577 13th St., Gulfport, MS 39501
Phone: 228-864-2752    Fax: 228-214-4206
Dr. Michele Q Pisciotta, PHYSICIAN
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4502 Old Pass Rd, Gulfport, MS 39501
Phone: 228-863-9977    Fax: 228-863-9912
Dr. Donielle A Daigle, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 14231 Seaway Rd, Suite 3004, Gulfport, MS 39503
Phone: 228-206-1905    Fax: 228-206-1917
Dr. Oney Carstaffen Raines Iii,
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 16 54th St, Gulfport, MS 39507
Phone: 228-865-9871    Fax: 228-865-9871
Thomas W. Lehman, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4577 13th St, Gulfport, MS 39501
Phone: 228-864-2752    
Dr. Charles Lee Robinson, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 4502 Old Pass Rd, Gulfport, MS 39501
Phone: 228-863-9977    Fax: 228-863-9912

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