Maurice Edward Reynolds, FNP-C is a medicare enrolled "General Practice" physician in Willimantic, Connecticut. His current practice location is
5 Founders St Ste 100, Willimantic, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 423-9764.
Maurice Edward Reynolds is licensed to practice in Connecticut (license number 14517) 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 1700683406.
Physician's Profile
Full Name | Maurice Edward Reynolds |
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Gender | Male |
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Speciality | General Practice |
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Location | 5 Founders St Ste 100, Willimantic, Connecticut |
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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: 1700683406
- Provider Enumeration Date: 02/28/2025
- Last Update Date: 03/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 5799208781
- Enrollment ID: I20250331002985
Medical Identifiers
Medical identifiers for Maurice Edward Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700683406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 14517 (Connecticut) | 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. Maurice Edward Reynolds allows following entities to bill medicare on his behalf.
Entity Name | Hartford Healthcare Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
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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. Maurice Edward 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 |
Maurice Edward Reynolds, FNP-C 1290 Silas Deane Hwy, Wethersfield, CT 06109-4337 Ph: () - | Maurice Edward Reynolds, FNP-C 5 Founders St Ste 100, Willimantic, CT 06226-2049 Ph: (860) 423-9764 |
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