Mr Tony L Reynolds, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Alturas, California. His current practice location is
535 S Main St, Alturas, California. You can reach out to his office (for appointments etc.) via phone at
(530) 233-2288.
Mr Tony L Reynolds is licensed to practice in California (license number 95004432) 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 1124387568.
Provider's Profile
Full Name | Mr Tony L Reynolds |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 535 S Main St, Alturas, California |
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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: 1124387568
- Provider Enumeration Date: 05/04/2012
- Last Update Date: 08/31/2016
Medicare PECOS Information:
- PECOS PAC ID: 3971767252
- Enrollment ID: I20170209000956
Medical Identifiers
Medical identifiers for Mr Tony L Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124387568 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1116552 (Alabama) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95004432 (California) | Primary |
363LF0000X | Nurse Practitioner - Family | 201509529NP-PP (Oregon) | Secondary |
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 Tony L Reynolds allows following entities to bill medicare on his behalf.
Entity Name | Last Frontier Healthcare District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487669032 PECOS PAC ID: 2466447412 Enrollment ID: O20040419000563 |
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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 Tony L 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 Tony L Reynolds, NP-C 535 S Main St, Alturas, CA 96101-4114 Ph: (530) 233-2288 | Mr Tony L Reynolds, NP-C 535 S Main St, Alturas, CA 96101-4114 Ph: (530) 233-2288 |
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