Katelyn Elaine Reynolds, APRN in Southbury, CT

Katelyn Elaine Reynolds, APRN is a medicare enrolled "Nurse Practitioner - Family" in Southbury, Connecticut. Her current practice location is 22 Old Waterbury Rd, Southbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (475) 289-4827.

Katelyn Elaine Reynolds is licensed to practice in Connecticut (license number 12843) 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 1255195764.

Contact Information

	Katelyn Elaine Reynolds, APRN
	22 Old Waterbury Rd, Southbury, CT 06488-3848
	(475) 289-4827
	Not Available

Map and Direction

Provider's Profile

Full Name	Katelyn Elaine Reynolds
Gender	Female
Speciality	Nurse Practitioner - Family
Location	22 Old Waterbury Rd, Southbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255195764
Provider Enumeration Date: 02/06/2024
Last Update Date: 02/06/2024

Medicare PECOS Information:

PECOS PAC ID: 5294173084
Enrollment ID: I20240328003505

Medical Identifiers

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

Identifier	Type	State	Issuer
1255195764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12843 (Connecticut)	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. Katelyn Elaine Reynolds allows following entities to bill medicare on her behalf.

Entity Name	Nuvance Health Medical Practice Ct Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407898117 PECOS PAC ID: 4789597691 Enrollment ID: O20031205000130

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. Katelyn Elaine 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
Katelyn Elaine Reynolds, APRN 125 Coram Ave, Shelton, CT 06484-4001 Ph: (203) 638-4924	Katelyn Elaine Reynolds, APRN 22 Old Waterbury Rd, Southbury, CT 06488-3848 Ph: (475) 289-4827

Reviews and Comments

Nurse Practitioner Nurses in Southbury, CT

Reba Goodrow, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Pomperaug Office Park Ste 102&103, Southbury, CT 06488 Phone: 203-558-1143
Mrs. Kelli Ann Bernier, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Pomperaug Office Park Ste 102, Southbury, CT 06488 Phone: 203-558-1143
Ms. Gerde B Francklin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Old Waterbury Rd Ste 108, Southbury, CT 06488 Phone: 203-262-4200
Ceri England Burke, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Depot Hill Rd, Southbury, CT 06488 Phone: 866-389-2727
Nicole L Martin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Quaker Farms Rd Ste 1, Southbury, CT 06488 Phone: 203-262-9300 Fax: 203-264-2696
Dr. Catherine G Winkler, PHD, MPH, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Old Waterbury Rd, Southbury, CT 06488 Phone: 203-262-4200 Fax: 203-264-1534

Katelyn Elaine Reynolds, APRN - Medicare Nurse Practitioner in Southbury, CT