Mckenzie Vi Reynolds, is a medicare enrolled "Physician Assistant" in Santa Clara, Utah. Her current practice location is
786 Leda Ln, Santa Clara, Utah. You can reach out to her office (for appointments etc.) via phone at
(425) 315-5702.
Mckenzie Vi Reynolds is licensed to practice in Utah (license number 12474301-1206) 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 1902415219.
Provider's Profile
Full Name | Mckenzie Vi Reynolds |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 786 Leda Ln, Santa Clara, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902415219
- Provider Enumeration Date: 07/23/2020
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 8527457647
- Enrollment ID: I20211111001011
Medical Identifiers
Medical identifiers for Mckenzie Vi Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902415219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 12474301-1206 (Utah) | 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. Mckenzie Vi 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 |
Mckenzie Vi Reynolds, 786 Leda Ln, Santa Clara, UT 84765-5665 Ph: (425) 315-5702 | Mckenzie Vi Reynolds, 786 Leda Ln, Santa Clara, UT 84765-5665 Ph: (425) 315-5702 |
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