Mr Justin Alan Reynolds, ACNP in Mesa, AZ - Medicare Nurse Practitioner

Mr Justin Alan Reynolds, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Mesa, Arizona. His current practice location is 6750 E Baywood Ave # 401, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 835-7111.

Mr Justin Alan Reynolds is licensed to practice in Arizona (license number 270825) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336893692.

Contact Information

	Mr Justin Alan Reynolds, ACNP
	6750 E Baywood Ave # 401, Mesa, AZ 85206-1749
	(480) 835-7111
	(480) 969-9345

Map and Direction

Provider's Profile

Full Name	Mr Justin Alan Reynolds
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	6750 E Baywood Ave # 401, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336893692
Provider Enumeration Date: 02/07/2022
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 1456729615
Enrollment ID: I20221118000661

Medical Identifiers

Medical identifiers for Mr Justin Alan Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336893692	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	1144183 (Kentucky)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	270825 (Arizona)	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. Mr Justin Alan Reynolds allows following entities to bill medicare on his behalf.

Entity Name	Pulmonary Consultants P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497035091 PECOS PAC ID: 4183600539 Enrollment ID: O20040625001029

Entity Name	Quantum Healthcare Medical Associates Of Arizona Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821391269 PECOS PAC ID: 5597946350 Enrollment ID: O20110228000065

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 Justin Alan 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
Mr Justin Alan Reynolds, ACNP 6750 E Baywood Ave # 401, Mesa, AZ 85206-1749 Ph: (480) 835-7111	Mr Justin Alan Reynolds, ACNP 6750 E Baywood Ave # 401, Mesa, AZ 85206-1749 Ph: (480) 835-7111

Reviews and Comments

Nurse Practitioner Nurses in Mesa, AZ

Aida E Amado, MS, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10163 E Jacob Ave, Mesa, AZ 85209 Phone: 480-296-8849
Marilyn Rose Schatz, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6750 E Baywood Ave, Suite 401, Mesa, AZ 85206 Phone: 480-835-7111 Fax: 480-969-9345
Mrs. Krista Ann Roppelt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3155 E Southern Ave Ste 203, Mesa, AZ 85204 Phone: 480-325-8173 Fax: 480-325-8179
Alisha Kristine Holben, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 560 S Bellview, Mesa, AZ 85204 Phone: 276-623-7851
Danielle Marin Hendrickson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1303 S Longmore, Mesa, AZ 85202 Phone: 480-649-5297
Mari Michelle Hooper, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 646 S Sabrina, Mesa, AZ 85208 Phone: 480-628-8370
Mrs. Marguerite R Galindo, MS, FNP-C, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6015 E Brown Rd, Mesa, AZ 85205 Phone: 480-266-4436

Mr Justin Alan Reynolds, ACNP - Medicare Nurse Practitioner in Mesa, AZ