Derek John Reynolds, FNP-C - Medicare Nurse Practitioner in Hogansburg, NY

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Derek John Reynolds, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Hogansburg, New York. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice St Regis Mohawk Tribe and his current practice location is Saint Regis Mohawk Tribe Health Services, 404 State Route 37, Hogansburg, New York. You can reach out to his office (for appointments etc.) via phone at (518) 358-3141.

Derek John Reynolds is licensed to practice in New York (license number F338090-1) 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 1285074054.

Contact Information

Derek John Reynolds, FNP-C
Saint Regis Mohawk Tribe Health Services, 404 State Route 37,
Hogansburg, NY 13655-3109
(518) 358-3141
(518) 358-9175

Map and Direction




Provider's Profile

Full NameDerek John Reynolds
GenderMale
SpecialityNurse Practitioner
Experience11 Years
LocationSaint Regis Mohawk Tribe Health Services, Hogansburg, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Derek John Reynolds graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1285074054
  • Provider Enumeration Date: 06/26/2013
  • Last Update Date: 03/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4183851199
  • Enrollment ID: I20131219001442

Medical Identifiers

Medical identifiers for Derek John Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285074054NPI-NPPES
03619812MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F338090-1 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Regis Mohawk Tribe57997485479

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. Derek John Reynolds allows following entities to bill medicare on his behalf.
Entity NameAlice Hyde Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114954682
PECOS PAC ID: 4082525837
Enrollment ID: O20031126000357
Entity NameSt Regis Mohawk Tribe
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457344558
PECOS PAC ID: 5799748547
Enrollment ID: O20041111000764

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. Derek John 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 AddressPractice Location Address
Derek John Reynolds, FNP-C
Saint Regis Mohawk Tribe Health Services, 404 State Route 37,
Hogansburg, NY 13655-3109

Ph: (518) 358-3141		Derek John Reynolds, FNP-C
Saint Regis Mohawk Tribe Health Services, 404 State Route 37,
Hogansburg, NY 13655-3109

Ph: (518) 358-3141

Reviews and Comments


Nurse Practitioner Nurses in Hogansburg, NY

Brenda Lyn Spurbeck, RNFP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 404 State Route 37, Hogansburg, NY 13655
Phone: 518-358-3141    Fax: 518-359-9175
Wendy L Frank, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 412 State Route 37, St. Regis Mohawk Tribe, Hogansburg, NY 13655
Phone: 518-358-3141    Fax: 518-358-6245

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.