Ms Mary Katherine Reynolds, PA is a medicare enrolled "Physician Assistant" in West Union, South Carolina. Her current practice location is
1205 N Highway 11, West Union, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 638-5402.
Ms Mary Katherine Reynolds is licensed to practice in South Carolina (license number A438) 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 1417174673.
Provider's Profile
| Full Name | Ms Mary Katherine Reynolds |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1205 N Highway 11, West Union, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417174673
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 06/10/2009
Medicare PECOS Information:
- PECOS PAC ID: 7719168111
- Enrollment ID: I20110217000663
Medical Identifiers
Medical identifiers for Ms Mary Katherine Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417174673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | A438 (South Carolina) | 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. Ms Mary Katherine 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 |
|---|
Ms Mary Katherine Reynolds, PA
Po Box 219,
West Union, SC 29696-0219
Ph: (864) 638-5402 | Ms Mary Katherine Reynolds, PA
1205 N Highway 11,
West Union, SC 29696-2715
Ph: (864) 638-5402 |
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