Dr Susan Kim Reynolds, MD - Medicare Family Medicine in Collinsville, IL

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Dr Susan Kim Reynolds, MD is a medicare enrolled "Family Medicine" physician in Collinsville, Illinois. Her current practice location is 1215 Vandalia St, Collinsville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 343-6015.

Dr Susan Kim Reynolds is licensed to practice in Illinois (license number 036126550) 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 1700877032.

Contact Information

Dr Susan Kim Reynolds, MD
1215 Vandalia St,
Collinsville, IL 62234-4060
(618) 343-6015
(618) 578-5759

Map and Direction




Physician's Profile

Full NameDr Susan Kim Reynolds
GenderFemale
SpecialityFamily Medicine
Location1215 Vandalia St, Collinsville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700877032
  • Provider Enumeration Date: 11/04/2005
  • Last Update Date: 05/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5698757896
  • Enrollment ID: I20040602000813

Medical Identifiers

Medical identifiers for Dr Susan Kim Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700877032NPI-NPPES
1700877032MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036126550 (Illinois)Primary
207P00000XEmergency Medicine R5E07 (Missouri)Secondary
207P00000XEmergency Medicine 036-126550 (Illinois)Secondary
207Q00000XFamily Medicine R5E07 (Missouri)Secondary

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. Dr Susan Kim Reynolds allows following entities to bill medicare on her behalf.
Entity NameCounty Of St Louis Division Of Fiscal Management
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780639088
PECOS PAC ID: 0941285720
Enrollment ID: O20040628000772
Entity NameFast Track Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568770626
PECOS PAC ID: 2062693336
Enrollment ID: O20110218000623

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 Susan Kim 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 AddressPractice Location Address
Dr Susan Kim Reynolds, MD
1215 Vandalia St,
Collinsville, IL 62234-4060

Ph: (618) 343-6015		Dr Susan Kim Reynolds, MD
1215 Vandalia St,
Collinsville, IL 62234-4060

Ph: (618) 343-6015

Reviews and Comments


Family Medicine Doctors in Collinsville, IL

Dr. Mafeth Araula Lim, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 531 Vandalia St, Collinsville, IL 62234
Phone: 618-344-0090    Fax: 618-344-4371
Dr. Patrick Zimmermann, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 531 Vandalia St, Suite 100, Collinsville, IL 62234
Phone: 618-344-0090    Fax: 618-344-4371
Mrs. Mettisa R. K. Mcleod, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 501 Belt Line Rd, Suite 20-d, Collinsville, IL 62234
Phone: 618-343-6005    Fax: 618-343-9114
Dr. Raj M Sajid, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 415 W Main St, Suite 3, Collinsville, IL 62234
Phone: 618-344-0071    Fax: 618-344-7793
Dr. Joseph Michael Corvallis, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Saint Louis Rd, Collinsville, IL 62234
Phone: 618-346-1144    Fax: 618-346-8095
Mr. Makin Uddin Ahmed, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 415 W Main St, Ste # 1, Collinsville, IL 62234
Phone: 618-346-2241    Fax: 618-346-4013

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.