Dr Richard Eric Reynolds, AUD is a medicare enrolled "Audiologist" provider in Mansfield, Texas. His current practice location is
1710 Country Club Dr, Suite 102, Mansfield, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 779-6955.
Dr Richard Eric Reynolds is licensed to practice in Texas (license number 50661) 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 1063532752.
Healthcare Provider's Profile
| Full Name | Dr Richard Eric Reynolds |
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| Gender | Male |
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| Speciality | Audiologist |
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| Location | 1710 Country Club Dr, Mansfield, Texas |
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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: 1063532752
- Provider Enumeration Date: 03/29/2007
- Last Update Date: 04/25/2012
Medicare PECOS Information:
- PECOS PAC ID: 5890858740
- Enrollment ID: I20090120000525
Medical Identifiers
Medical identifiers for Dr Richard Eric Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063532752 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 50661 (Texas) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | (* (Not Available)) | Secondary |
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. Dr Richard Eric Reynolds allows following entities to bill medicare on his behalf.
| Provider Name | Cross Timbers Ent, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073568127
PECOS PAC ID: 9234291840
Enrollment ID: O20081216000319 |
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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. Dr Richard Eric 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 |
|---|
Dr Richard Eric Reynolds, AUD
400 S Henderson St,
Fort Worth, TX 76104-1017
Ph: (817) 335-2583 | Dr Richard Eric Reynolds, AUD
1710 Country Club Dr, Suite 102,
Mansfield, TX 76063-2621
Ph: (817) 779-6955 |
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