Mr Antoine Vernell Taylor Sr, NP - Medicare Nurse Practitioner in Sherman Oaks, CA

Mr Antoine Vernell Taylor Sr, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Sherman Oaks, California. His current practice location is 4550 Van Nuys Blvd Ste A4, Sherman Oaks, California. You can reach out to his office (for appointments etc.) via phone at (818) 514-3631.

Mr Antoine Vernell Taylor Sr is licensed to practice in California (license number 95010879) 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 1205391356.

Contact Information

Mr Antoine Vernell Taylor Sr, NP
4550 Van Nuys Blvd Ste A4,
Sherman Oaks, CA 91403-2844
(818) 514-3631
(888) 972-1912



Physician's Profile

Full NameMr Antoine Vernell Taylor Sr
GenderMale
SpecialityNurse Practitioner - Family
Location4550 Van Nuys Blvd Ste A4, Sherman Oaks, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205391356
  • Provider Enumeration Date: 02/04/2019
  • Last Update Date: 01/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8224460787
  • Enrollment ID: I20191121001815

Medical Identifiers

Medical identifiers for Mr Antoine Vernell Taylor Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205391356NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 95010879 (California)Secondary
363LF0000XNurse Practitioner - Family 95010879 (California)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. Mr Antoine Vernell Taylor Sr allows following entities to bill medicare on his behalf.
Entity NameMichael S. Agron, M.d., Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699716100
PECOS PAC ID: 2668360736
Enrollment ID: O20040707000788

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Entity NameEast Valley Emergency Medical Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346287430
PECOS PAC ID: 3870579691
Enrollment ID: O20050506000210

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Entity NameVictory Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932402716
PECOS PAC ID: 9133301732
Enrollment ID: O20110302000980

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Entity NameCarbon Health Medical Group Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417294232
PECOS PAC ID: 9032340047
Enrollment ID: O20140314001276

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Entity NameHospitalist Group Of Montebello Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578959318
PECOS PAC ID: 2264715143
Enrollment ID: O20170220002677

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Entity NameLompoc Hospitalist Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891335717
PECOS PAC ID: 8426470832
Enrollment ID: O20200611002650

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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. Mr Antoine Vernell Taylor Sr 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
Mr Antoine Vernell Taylor Sr, NP
2920 Telegraph Ave Ste 100,
Berkeley, CA 94705-2031

Ph: (415) 549-0212
Mr Antoine Vernell Taylor Sr, NP
4550 Van Nuys Blvd Ste A4,
Sherman Oaks, CA 91403-2844

Ph: (818) 514-3631

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