Nicole Reynolds, is a medicare enrolled "Occupational Therapist" provider in Alden, New York. Her current practice location is
2638 Wende Rd, Alden, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 481-2248.
Nicole Reynolds is licensed to practice in Florida (license number 17955) 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 1467843482.
Healthcare Provider's Profile
| Full Name | Nicole Reynolds |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 2638 Wende Rd, Alden, New York |
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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: 1467843482
- Provider Enumeration Date: 02/12/2015
- Last Update Date: 10/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 3678819612
- Enrollment ID: I20190111000276
Medical Identifiers
Medical identifiers for Nicole Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467843482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 017775 (New York) | Secondary |
| 225X00000X | Occupational Therapist | 4684 (South Carolina) | Secondary |
| 225X00000X | Occupational Therapist | 14677 (California) | Secondary |
| 225X00000X | Occupational Therapist | 17955 (Florida) | 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. Nicole Reynolds allows following entities to bill medicare on her behalf.
| Provider Name | Saylor Physical Therapy Of Palm Beach Gardens Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1649524018
PECOS PAC ID: 1254585474
Enrollment ID: O20130215000317 |
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| Provider Name | Nicole Reynolds Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1285209429
PECOS PAC ID: 3375945272
Enrollment ID: O20210715000652 |
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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. Nicole 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 |
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Nicole Reynolds,
2638 Wende Rd,
Alden, NY 14004-9315
Ph: (716) 481-2248 | Nicole Reynolds,
2638 Wende Rd,
Alden, NY 14004-9315
Ph: (716) 481-2248 |
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