Jordann Marie Reynolds, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Eagle River, Alaska. Her current practice location is
16941 N Eagle River Loop Rd Unit 4, Eagle River, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 715-4993.
Jordann Marie Reynolds is licensed to practice in Alaska (license number 199407) 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 1134734833.
Healthcare Provider's Profile
Full Name | Jordann Marie Reynolds |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 16941 N Eagle River Loop Rd Unit 4, Eagle River, Alaska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134734833
- Provider Enumeration Date: 09/10/2020
- Last Update Date: 08/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 8527507789
- Enrollment ID: I20240831000573
Medical Identifiers
Medical identifiers for Jordann Marie Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134734833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 199407 (Alaska) | 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. Jordann Marie Reynolds allows following entities to bill medicare on her behalf.
Entity Name | Summit Sunrise Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629820543 PECOS PAC ID: 7618416876 Enrollment ID: O20240831000564 |
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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. Jordann Marie 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 |
Jordann Marie Reynolds, LCSW Po Box 2001, Palmer, AK 99645-2001 Ph: (907) 315-3515 | Jordann Marie Reynolds, LCSW 16941 N Eagle River Loop Rd Unit 4, Eagle River, AK 99577-7824 Ph: (907) 715-4993 |
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