DR. TAYLOR JACQUELYNN GRAY WLAZLO MD - NPI 1245814797 - Obstetrics & Gynecology in Lubbock, TX

Q: What is Taylor Gray Wlazlo's NPI number?

The NPI number for Taylor Gray Wlazlo is 1245814797. It was assigned to this individual provider in the NPPES registry on May 11, 2021. The provider is also known as Taylor Jacquelynn Gray.

Q: What is Taylor Gray Wlazlo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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About Dr. Taylor Jacquelynn Gray Wlazlo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TAYLOR JACQUELYNN GRAY WLAZLO MD (NPI 1245814797) is an individual obstetrics & gynecology provider in Lubbock, Texas, licensed in Texas (BP10075613) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245814797

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. TAYLOR JACQUELYNN GRAY WLAZLOCredential: MD

Location Address3601 4TH ST FL 3Lubbock, TX 79430-0002

Mailing Address11516 Topeka AveLubbock, TX 79424-7642 · (281) 541-6519

Phone(806) 743-2340

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 11, 2021

NPPES CertifiedMay 11, 2021

✔ NPI 1245814797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · BP10075613

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3601 4TH ST FL 3, Lubbock, TX 79430

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Other Names 1

Former Name (1)Taylor Jacquelynn Gray

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Taylor Jacquelynn Gray Wlazlo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103228788

PECOS Enrollment IDI20251007001314

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79430 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASMINE ESTELLE

Nurse Practitioner (Obstetrics & Gynecology)