C Diane Reynolds, APN in Peoria, IL - Medicare Nurse Practitioner

C Diane Reynolds, APN is a medicare enrolled "Nurse Practitioner" in Peoria, Illinois. Her current practice location is 900 Main St, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 353-0388.

C Diane Reynolds is licensed to practice in Illinois (license number 277000768) 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 1942503602.

Contact Information

	C Diane Reynolds, APN
	900 Main St, Peoria, IL 61602-1005
	(309) 353-0388
	Not Available

Map and Direction

Provider's Profile

Full Name	C Diane Reynolds
Gender	Female
Speciality	Nurse Practitioner
Location	900 Main St, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942503602
Provider Enumeration Date: 12/17/2010
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 8527205681
Enrollment ID: I20130508000439

Medical Identifiers

Medical identifiers for C Diane Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942503602	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	277.000768 (Illinois)	Secondary
363L00000X	Nurse Practitioner	277000768 (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. C Diane Reynolds allows following entities to bill medicare on her behalf.

Entity Name	Pekin Prohealth Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932150299 PECOS PAC ID: 1951214576 Enrollment ID: O20031110000647

Entity Name	Methodist Medical Center Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494

Entity Name	Methodist Medical Center Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196

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. C Diane 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
C Diane Reynolds, APN 12156 N Tall Trees Dr, Dunlap, IL 61525-9533 Ph: (309) 264-0578	C Diane Reynolds, APN 900 Main St, Peoria, IL 61602-1005 Ph: (309) 353-0388

Reviews and Comments

Nurse Practitioner Nurses in Peoria, IL

Mr. Ryan Eugene Parnham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Suite 108, Peoria, IL 61537 Phone: 309-624-8818
Faye Yetton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2015 W Austin Dr, Peoria, IL 61614 Phone: 309-256-0632
Linda Schmidgall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603 Phone: 309-624-5100 Fax: 309-624-5569
Sandra L. Peach, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-655-2343 Fax: 309-655-3948
Roxanne Mclaughlin, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3274
Suzanne D Tietjen, BSN, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2974
Brittany N Hemmele, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8600 N State Route 91, Peoria, IL 61615 Phone: 309-683-5050 Fax: 309-683-5335

C Diane Reynolds, APN - Medicare Nurse Practitioner in Peoria, IL