David Michael Reynolds, LPC in Conway, AR - Medicare Counselor Provider

David Michael Reynolds, LPC is a medicare enrolled "Counselor - Professional" provider in Conway, Arkansas. His current practice location is 855 S. German Lane #1, Conway, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 358-6606.

David Michael Reynolds is licensed to practice in Arkansas (license number P1710360) 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 1356580666.

Contact Information

	David Michael Reynolds, LPC
	855 S. German Lane #1, Conway, AR 72034-7203
	(501) 358-6606
	(501) 325-5554

Map and Direction

Healthcare Provider's Profile

Full Name	David Michael Reynolds
Gender	Male
Speciality	Counselor - Professional
Location	855 S. German Lane #1, Conway, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356580666
Provider Enumeration Date: 02/10/2009
Last Update Date: 04/01/2022

Medicare PECOS Information:

PECOS PAC ID: 1052754066
Enrollment ID: I20240207000553

Medical Identifiers

Medical identifiers for David Michael Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356580666	NPI	-	NPPES
5AE49	Other		BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	P1104025 (* (Not Available))	Secondary
101YP2500X	Counselor - Professional	P1710360 (Arkansas)	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. David Michael Reynolds allows following entities to bill medicare on his behalf.

Entity Name	Conway Counseling & Psychological Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528454139 PECOS PAC ID: 4183933781 Enrollment ID: O20151022000370

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. David Michael 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
David Michael Reynolds, LPC 855 S. German Lane #1, Conway, AR 72034-7870 Ph: (501) 358-6606	David Michael Reynolds, LPC 855 S. German Lane #1, Conway, AR 72034-7203 Ph: (501) 358-6606

Reviews and Comments

Counselor in Conway, AR

Mary Louise Strain, MS LICENSED PSYCHOLO Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572
Todd Mcguire, Counselor Medicare: Medicare Enrolled Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-315-3344
Alison Kay Tutt, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Hogan Ln Apt 2001, Conway, AR 72034 Phone: 479-747-5290
Carol Marie Kretzmann, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-548-9905
James V Fudoli, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572
Mr. Collin Thomas Davies, M.A., LPE-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 2850 Prince St Ste 53, Conway, AR 72034 Phone: 501-764-3002 Fax: 866-514-7628
Jeff Koehn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-221-1941

David Michael Reynolds, LPC - Medicare Counselor in Conway, AR