Dr Owen David Reynolds, MD in North Andover, MA

Dr Owen David Reynolds, MD is a medicare enrolled "Dermatology" physician in North Andover, Massachusetts. His current practice location is 198 Massachusetts Ave Ste 105, North Andover, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 691-5690.

Dr Owen David Reynolds is licensed to practice in Massachusetts (license number 74177) 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 1407845712.

Contact Information

	Dr Owen David Reynolds, MD
	198 Massachusetts Ave Ste 105, North Andover, MA 01845-4143
	(978) 691-5690
	(978) 691-5693

Map and Direction

Physician's Profile

Full Name	Dr Owen David Reynolds
Gender	Male
Speciality	Dermatology
Location	198 Massachusetts Ave Ste 105, North Andover, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407845712
Provider Enumeration Date: 10/19/2005
Last Update Date: 12/03/2018

Medicare PECOS Information:

PECOS PAC ID: 1951360296
Enrollment ID: I20041005000539

Medical Identifiers

Medical identifiers for Dr Owen David Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407845712	NPI	-	NPPES
3102769	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NS0135X	Dermatology - Procedural Dermatology	74177 (Massachusetts)	Secondary
207N00000X	Dermatology	74177 (Massachusetts)	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 Owen David Reynolds allows following entities to bill medicare on his behalf.

Entity Name	Northeast Dermatology Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104921162 PECOS PAC ID: 3072403799 Enrollment ID: O20040317000655

Entity Name	Alan Rockoff, M.d, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003959917 PECOS PAC ID: 9931204872 Enrollment ID: O20070420000370

Entity Name	Nedan Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669844163 PECOS PAC ID: 6002175007 Enrollment ID: O20180122000100

Entity Name	Integrated Dermatology Of Brookline Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104389154 PECOS PAC ID: 5890028070 Enrollment ID: O20190603000571

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 Owen David 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 Owen David Reynolds, MD 280 Merrimack St Ste 311, Lawrence, MA 01843-1779 Ph: (978) 691-5690	Dr Owen David Reynolds, MD 198 Massachusetts Ave Ste 105, North Andover, MA 01845-4143 Ph: (978) 691-5690

Reviews and Comments

Dermatology Doctors in North Andover, MA

Dr. Skylar Amanda Souyoul, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 538 Turnpike St, North Andover, MA 01845 Phone: 978-691-5690 Fax: 978-225-7837
Michelle Kim Kerrigan, Dermatology Medicare: Medicare Enrolled Practice Location: 198 Massachusetts Ave, North Andover, MA 01845 Phone: 978-691-5690
Dr. Jeremy P Finkle, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 538 Turnpike St, North Andover, MA 01845 Phone: 978-683-9201 Fax: 978-686-2770
Megan L Bernstein, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Andover Street, Suite 101, Northeast Dermatology Associates, North Andover, MA 01845 Phone: 978-691-5690 Fax: 978-691-5693
Dr. David Goldminz, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 538 Turnpike St, North Andover, MA 01845 Phone: 978-683-9201 Fax: 978-686-2770
Dr. Mary D Gibney, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 198 Massachusetts Ave Ste 105, North Andover, MA 01845 Phone: 978-691-5690 Fax: 978-691-5693

Dr Owen David Reynolds, MD - Medicare Dermatology in North Andover, MA