Mrs Lakeisha Reynolds, NURSE PRACTITIONER in Statesville, NC

Mrs Lakeisha Reynolds, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Primary Care" in Statesville, North Carolina. Her current practice location is 160 Morning Dove Ln, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 500-7411.

Mrs Lakeisha Reynolds is licensed to practice in North Carolina (license number BARE-COIQM) 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 1205580131.

Contact Information

	Mrs Lakeisha Reynolds, NURSE PRACTITIONER
	160 Morning Dove Ln, Statesville, NC 28625-2709
	(704) 500-7411
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lakeisha Reynolds
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	160 Morning Dove Ln, Statesville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205580131
Provider Enumeration Date: 02/09/2022
Last Update Date: 02/09/2022

Medicare PECOS Information:

PECOS PAC ID: 3072996602
Enrollment ID: I20220815003509

Medical Identifiers

Medical identifiers for Mrs Lakeisha Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205580131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	BARE-COIQM (North Carolina)	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. Mrs Lakeisha Reynolds allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503

Entity Name	Vitae Health Medical North Carolina Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265064414 PECOS PAC ID: 7719317932 Enrollment ID: O20200430000531

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. Mrs Lakeisha 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
Mrs Lakeisha Reynolds, NURSE PRACTITIONER 160 Morning Dove Ln, Statesville, NC 28625-2709 Ph: (704) 500-7411	Mrs Lakeisha Reynolds, NURSE PRACTITIONER 160 Morning Dove Ln, Statesville, NC 28625-2709 Ph: (704) 500-7411

Reviews and Comments

Nurse Practitioner Nurses in Statesville, NC

Tanya Kapp Maxwell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 Davie Ave, Statesville, NC 28677 Phone: 704-873-1036 Fax: 704-873-1058
Mrs. Laurie A Edwards, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Turnersburg Hwy, Minute Clinic, Statesville, NC 28625 Phone: 704-872-6355 Fax: 401-652-9787
Cecilia Kaechele, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-997-5525 Fax: 704-997-5531
Kelly Dawkins Bumgardner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Brookdale Dr Ste 100, Statesville, NC 28677 Phone: 704-873-7850
Rachel Danielle Stanley, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 536 Signal Hill Drive Ext, Statesville, NC 28625 Phone: 704-872-0234
Lisa Vang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Turnersburg Hwy, Statesville, NC 28625 Phone: 704-872-6355
Ms. Judy Lackey Keighron, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308c Mocksville Hwy, Statesville, NC 28625 Phone: 704-873-4484 Fax: 704-873-4485

Mrs Lakeisha Reynolds, NURSE PRACTITIONER - Medicare Nurse Practitioner in Statesville, NC