Mitchell Reynolds, in Conway, AR - Medicare Occupational Therapist Provider

Mitchell Reynolds, is a medicare enrolled "Occupational Therapist" provider in Conway, Arkansas. His current practice location is 550 Club Ln, Conway, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 327-2495.

Mitchell Reynolds is licensed to practice in Arkansas (license number OTR2742) 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 1053765180.

Contact Information

	Mitchell Reynolds,
	550 Club Ln, Conway, AR 72034-3681
	(501) 327-2495
	(205) 683-2468

Map and Direction

Healthcare Provider's Profile

Full Name	Mitchell Reynolds
Gender	Male
Speciality	Occupational Therapist
Location	550 Club Ln, Conway, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053765180
Provider Enumeration Date: 04/14/2016
Last Update Date: 04/14/2016

Medicare PECOS Information:

PECOS PAC ID: 6204125651
Enrollment ID: I20160525001046

Medical Identifiers

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

Identifier	Type	State	Issuer
1053765180	NPI	-	NPPES
OTR2742	Other	AR	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OTR2742 (Arkansas)	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. Mitchell Reynolds allows following entities to bill medicare on his behalf.

Provider Name	Conway Regional Medical Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174092217 PECOS PAC ID: 3173428414 Enrollment ID: O20200317000336

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. Mitchell 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
Mitchell Reynolds, 550 Club Ln, Conway, AR 72034-3681 Ph: (501) 327-2495	Mitchell Reynolds, 550 Club Ln, Conway, AR 72034-3681 Ph: (501) 327-2495

Reviews and Comments

Occupational Therapist in Conway, AR

Andrea Martin, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2740 College Avenue, Conway, AR 72034 Phone: 501-329-5459
Mrs. Susan Whitney Roach, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Museum Rd Ste 104, Conway, AR 72032 Phone: 501-329-3804 Fax: 501-329-0718
Mrs. Kelly Anne Hartwick, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Museum Rd Ste 104, Conway, AR 72032 Phone: 501-329-3804 Fax: 501-329-0718
Casie Upton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2740 College Ave, Conway, AR 72034 Phone: 501-329-5459 Fax: 501-327-1738
Marleigh Diane Mills Rink, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2740 College Ave, Conway, AR 72034 Phone: 501-329-5459
Stephanie San Gilbert, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2740 College Ave, Conway, AR 72034 Phone: 501-329-5459

Mitchell Reynolds, - Medicare Occupational Therapist in Conway, AR