Emily Renee Reardon, is a medicare enrolled "Counselor" provider in Garner, North Carolina. Her current practice location is
136 Us 70 Hwy E Ste 201, Garner, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 791-5611.
Emily Renee Reardon is licensed to practice in Wisconsin (license number 18013-130) 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 1619462942.
Healthcare Provider's Profile
| Full Name | Emily Renee Reardon |
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| Gender | Female |
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| Speciality | Counselor |
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| Location | 136 Us 70 Hwy E Ste 201, Garner, North 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: 1619462942
- Provider Enumeration Date: 06/28/2018
- Last Update Date: 07/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 5597168211
- Enrollment ID: I20210719002630
Medical Identifiers
Medical identifiers for Emily Renee Reardon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619462942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | C013842 (North Carolina) | Secondary |
| 101Y00000X | Counselor | 18013-130 (Wisconsin) | 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. Emily Renee Reardon allows following entities to bill medicare on her behalf.
| Entity Name | Mind & Body Therapeutic Connections, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336767961
PECOS PAC ID: 4880010867
Enrollment ID: O20200820003732 |
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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. Emily Renee Reardon 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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Emily Renee Reardon,
2808 Barwell Rd,
Raleigh, NC 27610-5427
Ph: (608) 417-8144 | Emily Renee Reardon,
136 Us 70 Hwy E Ste 201,
Garner, NC 27529-3982
Ph: (919) 791-5611 |
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