Andrea Suzette Reynolds, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rocky Mount, Virginia. Her current practice location is
200 Oak St, Rocky Mount, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 692-6927.
Andrea Suzette Reynolds is licensed to practice in Virginia (license number 0904014928) 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 1598465791.
Healthcare Provider's Profile
| Full Name | Andrea Suzette Reynolds |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 200 Oak St, Rocky Mount, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598465791
- Provider Enumeration Date: 03/06/2023
- Last Update Date: 03/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547602385
- Enrollment ID: I20240524003101
Medical Identifiers
Medical identifiers for Andrea Suzette Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598465791 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 0904014928 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904014928 (Virginia) | 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. Andrea Suzette Reynolds allows following entities to bill medicare on her behalf.
| Entity Name | Journey Thru Counseling & Wellness, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952001166
PECOS PAC ID: 9638511470
Enrollment ID: O20240524002954 |
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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. Andrea Suzette Reynolds 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 |
|---|
Andrea Suzette Reynolds, LCSW
200 Oak St,
Rocky Mount, VA 24151-1201
Ph: (276) 692-6927 | Andrea Suzette Reynolds, LCSW
200 Oak St,
Rocky Mount, VA 24151-1201
Ph: (276) 692-6927 |
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