Dr Susan Kim Reynolds, MD in Saint Louis, MO

Dr Susan Kim Reynolds, MD is a medicare enrolled "Family Medicine" physician in Saint Louis, Missouri. Her current practice location is 401 Holly Hills Ave, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 353-5190.

Dr Susan Kim Reynolds is licensed to practice in Illinois (license number 036126550) 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 1700877032.

Contact Information

	Dr Susan Kim Reynolds, MD
	401 Holly Hills Ave, Saint Louis, MO 63111-2410
	(314) 353-5190
	(314) 353-7631

Map and Direction

Physician's Profile

Full Name	Dr Susan Kim Reynolds
Gender	Female
Speciality	Family Medicine
Location	401 Holly Hills Ave, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700877032
Provider Enumeration Date: 11/04/2005
Last Update Date: 03/19/2025

Medicare PECOS Information:

PECOS PAC ID: 5698757896
Enrollment ID: I20040602000813

Medical Identifiers

Medical identifiers for Dr Susan Kim Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700877032	NPI	-	NPPES
1700877032	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	R5E07 (Missouri)	Secondary
207P00000X	Emergency Medicine	036-126550 (Illinois)	Secondary
207Q00000X	Family Medicine	R5E07 (Missouri)	Secondary
207Q00000X	Family Medicine	036126550 (Illinois)	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 Susan Kim Reynolds allows following entities to bill medicare on her behalf.

Entity Name	County Of St Louis Division Of Fiscal Management
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780639088 PECOS PAC ID: 0941285720 Enrollment ID: O20040628000772

Entity Name	Family Care Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508867508 PECOS PAC ID: 7911815097 Enrollment ID: O20041206000646

Entity Name	Fast Track Medical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568770626 PECOS PAC ID: 2062693336 Enrollment ID: O20110218000623

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 Susan Kim 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 Susan Kim Reynolds, MD 401 Holly Hills Ave, Saint Louis, MO 63111-2410 Ph: (314) 353-5190	Dr Susan Kim Reynolds, MD 401 Holly Hills Ave, Saint Louis, MO 63111-2410 Ph: (314) 353-5190

Reviews and Comments

Family Medicine Doctors in Saint Louis, MO

Alexander Keenan Holbrook, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2345 Dougherty Ferry Rd, Saint Louis, MO 63122 Phone: 314-966-9100
Mrs. Jetuan L Rowley-herron, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-7010
Christopher Brian Espana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5034 Griffin Rd, Saint Louis, MO 63128 Phone: 314-843-7333 Fax: 314-843-9946
Dr. Sumera Younus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3009 N Ballas Rd Ste 387c, Saint Louis, MO 63131 Phone: 314-996-5900
Mrs. Teresita Agustin Cometa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-6326
Dr. Michael T Railey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139 Phone: 314-768-3685 Fax: 314-768-3940
Dr. Alan Valente A Padua, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13303 Tesson Ferry Rd Ste 100, Saint Louis, MO 63128 Phone: 314-722-4741 Fax: 314-722-4731

Dr Susan Kim Reynolds, MD - Medicare Family Medicine in Saint Louis, MO