Emily Megan Reynoso, is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Fort Worth, Texas. Her current practice location is
1400 8th Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 926-2544.
Emily Megan Reynoso is licensed to practice in Texas (license number 1149010) 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 1043080138.
Physician's Profile
| Full Name | Emily Megan Reynoso |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1400 8th Ave, Fort Worth, Texas |
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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: 1043080138
- Provider Enumeration Date: 01/08/2024
- Last Update Date: 06/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395289821
- Enrollment ID: I20240626000205
Medical Identifiers
Medical identifiers for Emily Megan Reynoso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043080138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 147543 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1149010 (Texas) | 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. Emily Megan Reynoso allows following entities to bill medicare on her behalf.
| Entity Name | Northstar Anesthesia Iii Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356968952
PECOS PAC ID: 0042630501
Enrollment ID: O20201022000080 |
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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. Emily Megan Reynoso 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 |
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Emily Megan Reynoso,
1724 Rock View Ct,
Fort Worth, TX 76112-3712
Ph: (254) 652-8411 | Emily Megan Reynoso,
1400 8th Ave,
Fort Worth, TX 76104-4110
Ph: (817) 926-2544 |
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