Mr Joel Crist Reynolds, MD is a medicare enrolled "Urology" physician in Edenton, North Carolina. He went to Indiana University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Urology. He is a member of the group practice Vidant Medical Group Llc and his current practice location is
210 N Broad St, Edenton Urology Clinic, Edenton, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 482-1606.
Mr Joel Crist Reynolds is licensed to practice in North Carolina (license number 9900331) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972613321.
Physician's Profile
| Full Name | Mr Joel Crist Reynolds |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 38 Years |
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| Location | 210 N Broad St, Edenton, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Joel Crist Reynolds attended and graduated from Indiana University School Of Medicine in 1986
NPI Data:
- NPI Number: 1972613321
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 12/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799754644
- Enrollment ID: I20040928000949
Medical Identifiers
Medical identifiers for Mr Joel Crist Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972613321 | NPI | - | NPPES |
| 1192K | Other | NC | BCBS |
| 891192K | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 9900331 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Vidant Medical Group Llc | 0345343893 | 850 |
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. Mr Joel Crist Reynolds allows following entities to bill medicare on his behalf.
| Entity Name | Vidant Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445 |
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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. Mr Joel Crist 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 |
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Mr Joel Crist Reynolds, MD
210 N Broad St, Edenton Urology Clinic,
Edenton, NC 27932
Ph: (252) 482-1606 | Mr Joel Crist Reynolds, MD
210 N Broad St, Edenton Urology Clinic,
Edenton, NC 27932
Ph: (252) 482-1606 |
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