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. |
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 |
1619462942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
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 |
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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