Bethany E Reynolds, NP is a medicare enrolled "Internal Medicine - Cardiovascular Disease" in Lebanon, Indiana. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Witham Memorial Hospital and her current practice location is
2705 N Lebanon St Ste 342, Lebanon, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 485-8740.
Bethany E Reynolds is licensed to practice in Indiana (license number 71013671A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336848381.
Provider's Profile
| Full Name | Bethany E Reynolds |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 2705 N Lebanon St Ste 342, Lebanon, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bethany E Reynolds graduated from nursing school in 2022
NPI Data:
- NPI Number: 1336848381
- Provider Enumeration Date: 02/28/2023
- Last Update Date: 10/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325413594
- Enrollment ID: I20230331002517
Medical Identifiers
Medical identifiers for Bethany E Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336848381 | NPI | - | NPPES |
| 300073000 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 28207345A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71013671A (Indiana) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 71013671A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Witham Memorial Hospital | 4082523170 | 89 |
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. Bethany E Reynolds allows following entities to bill medicare on her behalf.
| Entity Name | Witham Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083750293
PECOS PAC ID: 4082523170
Enrollment ID: O20040519001402 |
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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. Bethany E 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 |
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Bethany E Reynolds, NP
2605 N Lebanon St,
Lebanon, IN 46052-1476
Ph: () - | Bethany E Reynolds, NP
2705 N Lebanon St Ste 342,
Lebanon, IN 46052-8621
Ph: (765) 485-8740 |
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