Charlene Reynolds, APRN in Jacksonville, FL - Medicare Nurse Practitioner

Charlene Reynolds, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jacksonville, Florida. Her current practice location is 1636 Shadowood Ln Ste 106, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 695-0249.

Charlene Reynolds is licensed to practice in Florida (license number APRN11009388) 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 1629617774.

Contact Information

	Charlene Reynolds, APRN
	1636 Shadowood Ln Ste 106, Jacksonville, FL 32207-2187
	(904) 695-0249
	Not Available

Map and Direction

Provider's Profile

Full Name	Charlene Reynolds
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1636 Shadowood Ln Ste 106, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629617774
Provider Enumeration Date: 01/06/2020
Last Update Date: 06/12/2023

Medicare PECOS Information:

PECOS PAC ID: 3173936630
Enrollment ID: I20201231000241

Medical Identifiers

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

Identifier	Type	State	Issuer
1629617774	NPI	-	NPPES
108934400	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN9423089 (Florida)	Secondary
163W00000X	Registered Nurse	041431448 (Illinois)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209022748 (Illinois)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11009388 (Florida)	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. Charlene Reynolds allows following entities to bill medicare on her behalf.

Entity Name	Tbj Behavioral Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568633683 PECOS PAC ID: 4981789823 Enrollment ID: O20141120001176

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. Charlene 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
Charlene Reynolds, APRN 1636 Shadowood Ln Ste 106, Jacksonville, FL 32207-2187 Ph: () -	Charlene Reynolds, APRN 1636 Shadowood Ln Ste 106, Jacksonville, FL 32207-2187 Ph: (904) 695-0249

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, FL

Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395
Xenia T Blount, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080

Charlene Reynolds, APRN - Medicare Nurse Practitioner in Jacksonville, FL