Mrs Shirley Deveere Reynolds, in Coos Bay, OR

Mrs Shirley Deveere Reynolds, is a medicare enrolled "Nurse Practitioner" in Coos Bay, Oregon. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 998 Inlet Loop, Coos Bay, Oregon. You can reach out to her office (for appointments etc.) via phone at (773) 996-0242.

Mrs Shirley Deveere Reynolds is licensed to practice in Illinois (license number 209.018215) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1073097242.

Contact Information

	Mrs Shirley Deveere Reynolds,
	998 Inlet Loop, Coos Bay, OR 97420-4446
	(773) 996-0242
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shirley Deveere Reynolds
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	998 Inlet Loop, Coos Bay, Oregon
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shirley Deveere Reynolds graduated from nursing school in 2016

NPI Data:

NPI Number: 1073097242
Provider Enumeration Date: 09/24/2018
Last Update Date: 09/24/2018

Medicare PECOS Information:

PECOS PAC ID: 4183964695
Enrollment ID: I20190320001502

Medical Identifiers

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

Identifier	Type	State	Issuer
1073097242	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209.018215 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bay Area Hospital	Coos bay, OR	Hospital

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 Shirley Deveere Reynolds allows following entities to bill medicare on her behalf.

Entity Name	Daiya Healthcare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20200309000992

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 Shirley Deveere 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 Shirley Deveere Reynolds, 998 Inlet Loop, Coos Bay, OR 97420-4446 Ph: (773) 996-0242	Mrs Shirley Deveere Reynolds, 998 Inlet Loop, Coos Bay, OR 97420-4446 Ph: (773) 996-0242

Reviews and Comments

Nurse Practitioner Nurses in Coos Bay, OR

Jenny V Tausch, APRN PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Central Ave Ste 212, Coos Bay, OR 97420 Phone: 401-217-9333 Fax: 541-543-2470
Mrs. Regina M Ardiana, FNPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 Fax: 541-269-8469
Angela Renee York, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Mitaliben Rajendrakumar Gor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Shelly Prather, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Diane H Todd, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4578

Mrs Shirley Deveere Reynolds, - Medicare Nurse Practitioner in Coos Bay, OR