Dr Jacque L Reynolds, DO is a
Family Medicine physician based in El Dorado Springs, Missouri. Dr Jacque L Reynolds is licensed to practice in Missouri (license number R8648) and his current practice location is 309 E Hospital Rd, El Dorado Springs, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 876-5851.
NPI number for Dr Jacque L Reynolds is 1568549129 and his current mailing address is Po Box 2580, Springfield, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568549129.
Physician's Profile
| Full Name | Dr Jacque L Reynolds |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 309 E Hospital Rd, El Dorado Springs, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568549129
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 07/17/2008
Medical Identifiers
Medical identifiers for Dr Jacque L Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568549129 | NPI | - | NPPES |
| 240578617 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | R8648 (Missouri) | Primary |
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. Dr Jacque L Reynolds is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jacque L Reynolds, DO
Po Box 2580,
Springfield, MO 65801-2580
Ph: (417) 829-4620 | Dr Jacque L Reynolds, DO
309 E Hospital Rd,
El Dorado Springs, MO 64744-2021
Ph: (417) 876-5851 |
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