Mr Scott Reynolds, ATC is a
Preventive Medicine - Sports Medicine physician based in Coram, New York. Mr Scott Reynolds is licensed to practice in New York (license number 002491) and his current practice location is 21 Kathleen Cres, Coram, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 766-0534.
NPI number for Mr Scott Reynolds is 1922614999 and his current mailing address is 21 Kathleen Cres, Coram, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922614999.
Physician's Profile
| Full Name | Mr Scott Reynolds |
|---|
| Gender | Male |
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| Speciality | Preventive Medicine - Sports Medicine |
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| Location | 21 Kathleen Cres, Coram, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922614999
- Provider Enumeration Date: 09/16/2020
- Last Update Date: 09/16/2020
Medical Identifiers
Medical identifiers for Mr Scott Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922614999 | NPI | - | NPPES |
| 2000011183 | Other | | BOC |
| 002491 | Other | NY | NY STATE LICENSURE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083S0010X | Preventive Medicine - Sports Medicine | 002491 (New York) | Primary |
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 Scott Reynolds is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Scott Reynolds, ATC
21 Kathleen Cres,
Coram, NY 11727-1469
Ph: (631) 766-0534 | Mr Scott Reynolds, ATC
21 Kathleen Cres,
Coram, NY 11727-1469
Ph: (631) 766-0534 |
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