Marleta Reynolds, MD in Chicago, IL

Marleta Reynolds, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Chicago, Illinois. Her current practice location is 225 E Chicago Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (800) 543-7362.

Marleta Reynolds is licensed to practice in Illinois (license number 036062051) 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 1336135904.

Contact Information

	Marleta Reynolds, MD
	225 E Chicago Ave, Chicago, IL 60611
	(800) 543-7362
	Not Available

Map and Direction

Physician's Profile

Full Name	Marleta Reynolds
Gender	Female
Speciality	Surgery - Pediatric Surgery
Location	225 E Chicago Ave, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336135904
Provider Enumeration Date: 09/20/2005
Last Update Date: 05/10/2019

Medicare PECOS Information:

PECOS PAC ID: 4284655564
Enrollment ID: I20051214000567

Medical Identifiers

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

Identifier	Type	State	Issuer
1336135904	NPI	-	NPPES
036062051	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0120X	Surgery - Pediatric Surgery	036062051 (Illinois)	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. Marleta Reynolds allows following entities to bill medicare on her behalf.

Entity Name	Lurie Childrens Surgical Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356822050 PECOS PAC ID: 5890020770 Enrollment ID: O20190715002591

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. Marleta 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
Marleta Reynolds, MD 225 E Chicago Ave # 118, Chicago, IL 60611-2991 Ph: (312) 227-4210	Marleta Reynolds, MD 225 E Chicago Ave, Chicago, IL 60611 Ph: (800) 543-7362

Reviews and Comments

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Marleta Reynolds, MD - Medicare Surgery in Chicago, IL