Michelle Reynolds, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Tyler, Minnesota. She went to West Virginia University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Avera Tyler and her current practice location is
240 Willow St, Tyler, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 247-5521.
Michelle Reynolds is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1669906053.
Physician's Profile
Full Name | Michelle Reynolds |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 7 Years |
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Location | 240 Willow St, Tyler, Minnesota |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Michelle Reynolds attended and graduated from West Virginia University School Of Medicine in 2017
NPI Data:
- NPI Number: 1669906053
- Provider Enumeration Date: 04/12/2017
- Last Update Date: 10/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 8123398807
- Enrollment ID: I20210125000422
Medical Identifiers
Medical identifiers for Michelle Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669906053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 68255 (Minnesota) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Avera Tyler | 9638088537 | 15 |
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. Michelle Reynolds allows following entities to bill medicare on her behalf.
Entity Name | Avera Tyler |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1801840517 PECOS PAC ID: 9638088537 Enrollment ID: O20031103000411 |
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Entity Name | Avera Marshall |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
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Entity Name | Avera Marshall |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20091209000435 |
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Entity Name | Avera Tyler |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801840517 PECOS PAC ID: 9638088537 Enrollment ID: O20170630001868 |
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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. Michelle 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 |
Michelle Reynolds, MD 240 Willow St, Tyler, MN 56178-1201 Ph: () - | Michelle Reynolds, MD 240 Willow St, Tyler, MN 56178-1201 Ph: (507) 247-5521 |
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