Lael Jo Reynolds, is a medicare enrolled "Registered Nurse - Perinatal" in Ammon, Idaho. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pearl Health Clinic and her current practice location is
2705 E 17th St, Ammon, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 346-7522.
Lael Jo Reynolds is licensed to practice in Idaho (license number N-30935) 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 1689332769.
Provider's Profile
| Full Name | Lael Jo 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 E 17th St, Ammon, Idaho |
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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:
- Lael Jo Reynolds graduated from nursing school in 2021
NPI Data:
- NPI Number: 1689332769
- Provider Enumeration Date: 12/06/2021
- Last Update Date: 12/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204221955
- Enrollment ID: I20220317000962
Medical Identifiers
Medical identifiers for Lael Jo Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689332769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WP1700X | Registered Nurse - Perinatal | N-30935 (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pearl Health Clinic | 0840356077 | 23 |
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. Lael Jo Reynolds allows following entities to bill medicare on her behalf.
| Entity Name | Pearl Health Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447426465
PECOS PAC ID: 0840356077
Enrollment ID: O20090312000617 |
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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. Lael Jo 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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Lael Jo Reynolds,
158 S 2nd E,
Rexburg, ID 83440-1909
Ph: (208) 206-0692 | Lael Jo Reynolds,
2705 E 17th St,
Ammon, ID 83406-6601
Ph: (208) 346-7522 |
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