Ellen M Reynolds, MD in Boise, ID

Ellen M Reynolds, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Boise, Idaho. Her current practice location is 100 E Idaho St, Ste 300, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 381-7370.

Ellen M Reynolds is licensed to practice in Idaho (license number M-7833) 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 1679622542.

Contact Information

	Ellen M Reynolds, MD
	100 E Idaho St, Ste 300, Boise, ID 83712-6267
	(208) 381-7370
	(208) 381-7377

Map and Direction

Physician's Profile

Full Name	Ellen M Reynolds
Gender	Female
Speciality	Surgery - Pediatric Surgery
Location	100 E Idaho St, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679622542
Provider Enumeration Date: 01/09/2007
Last Update Date: 09/04/2012

Medicare PECOS Information:

PECOS PAC ID: 4183704810
Enrollment ID: I20080107000722

Medical Identifiers

Medical identifiers for Ellen M Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679622542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0120X	Surgery - Pediatric Surgery	M-7833 (Idaho)	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. Ellen M Reynolds allows following entities to bill medicare on her behalf.

Entity Name	St Lukes Clinic-treasure Valley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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. Ellen M 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
Ellen M Reynolds, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222	Ellen M Reynolds, MD 100 E Idaho St, Ste 300, Boise, ID 83712-6267 Ph: (208) 381-7370

Reviews and Comments

Surgery Doctors in Boise, ID

Dr. Craig B. Bass, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 250 Bobwhite Ct, # 275, Boise, ID 83706 Phone: 208-333-0200 Fax: 208-333-0399
Aziz George Munayirji, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 N Curtis Rd, Suite 415, Boise, ID 83706 Phone: 208-367-7676 Fax: 208-367-5595
John M Livingston, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 8756 W Emerald St, Suite 136, Boise, ID 83704 Phone: 208-853-3051 Fax: 208-853-3053
Jason A Kemp, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 N 2nd St, Suite 202, Boise, ID 83702 Phone: 208-381-6390 Fax: 208-381-6395
Dr. Patrick Cole, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1070 N Curtis Rd Ste 135, Boise, ID 83706 Phone: 208-947-5390 Fax: 208-947-3465
Dr. Graham W Donald, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 333 N 1st St Ste 280, Boise, ID 83702 Phone: 208-345-6545 Fax: 208-345-1213
Courtney Alyson Green, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 N Curtis Rd Ste 415, Boise, ID 83706 Phone: 208-302-2600 Fax: 208-302-2625

Ellen M Reynolds, MD - Medicare Surgery in Boise, ID