Dr Alexis Reynolds, PSYD is a medicare enrolled "Psychologist" provider in Oak Park, Illinois. Her current practice location is
1158 S Harvey Ave, Oak Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 210-6850.
Dr Alexis Reynolds is licensed to practice in * (Not Available) (license number ) 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 1740835099.
Healthcare Provider's Profile
| Full Name | Dr Alexis Reynolds |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 1158 S Harvey Ave, Oak Park, Illinois |
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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: 1740835099
- Provider Enumeration Date: 08/05/2019
- Last Update Date: 12/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 1153868971
- Enrollment ID: I20240730000461
Medical Identifiers
Medical identifiers for Dr Alexis Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740835099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | 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. Dr Alexis Reynolds allows following entities to bill medicare on her behalf.
| Entity Name | First Responders Wellness Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417408303
PECOS PAC ID: 1759778228
Enrollment ID: O20220502001160 |
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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 Alexis 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 Alexis Reynolds, PSYD
1158 S Harvey Ave,
Oak Park, IL 60304-2277
Ph: (630) 210-6850 | Dr Alexis Reynolds, PSYD
1158 S Harvey Ave,
Oak Park, IL 60304-2277
Ph: (630) 210-6850 |
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