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Taylor Ross

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372

PECOS Enrollment

Based on the most recent information from CMS, provider Taylor Ross is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1891311312
Provider Type
Individual
Full Name
Ross, Taylor
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
6/20/2020
Last Updated
9/20/2021

Contact Information

Practice Location

14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372

(704) 667-2650

Unlisted Fax

Mailing Location

PO Box 19305, Charlotte, NC 28219-9305

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-09687 North Carolina

Taylor Ross

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Cox, Orvette

Sullins, Alyssa Leigh

Seegers, Jeffrey Allen

Fair, Rachel Denise

Bush, Nicole Vanderbosch

O'Connor, William Charles

Pounds, Parker Elizabeth

Kinzel, Alexandria Nicole

Markey, Melanie Reyer

Curley, Jacqueline Marie