Bethany E Reynolds, NP is a medicare enrolled "Internal Medicine - Cardiovascular Disease" in Lebanon, Indiana. 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 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 1336848381.
Provider's Profile
| Full Name | Bethany E Reynolds |
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| Gender | Female |
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| Speciality | Internal Medicine - Cardiovascular Disease |
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| Location | 2705 N Lebanon St Ste 342, Lebanon, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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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 |
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 |
|---|
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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