Shea Elizabeth Reynolds, in Kennesaw, GA - Medicare Nurse Practitioner

Shea Elizabeth Reynolds, is a medicare enrolled "Nurse Practitioner" in Kennesaw, Georgia. She went to University Of South Alabama College Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mak Anesthesia Holdings, Llc and her current practice location is 1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 702-1806.

Shea Elizabeth Reynolds is licensed to practice in Georgia (license number RN223462) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1235728353.

Contact Information

	Shea Elizabeth Reynolds,
	1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402
	(770) 702-1806
	Not Available

Map and Direction

Provider's Profile

Full Name	Shea Elizabeth Reynolds
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shea Elizabeth Reynolds attended and graduated from University Of South Alabama College Of Medicine in 2020

NPI Data:

NPI Number: 1235728353
Provider Enumeration Date: 01/13/2021
Last Update Date: 01/13/2021

Medicare PECOS Information:

PECOS PAC ID: 6507274800
Enrollment ID: I20210427001454

Medical Identifiers

Medical identifiers for Shea Elizabeth Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235728353	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN223462 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar Cobb Hospital	Austell, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mak Anesthesia Holdings, Llc	4284917204	167

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. Shea Elizabeth Reynolds allows following entities to bill medicare on her behalf.

Entity Name	Mak Anesthesia Holdings, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563

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. Shea Elizabeth 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
Shea Elizabeth Reynolds, 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402 Ph: () -	Shea Elizabeth Reynolds, 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402 Ph: (770) 702-1806

Reviews and Comments

Nurse Practitioner Nurses in Kennesaw, GA

Lisa Vivienne Poling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Chastain Rd Nw, Kennesaw, GA 30144 Phone: 678-797-2844 Fax: 678-797-2827
Mrs. Quyen Le Ta, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2628 Myrtlewood Ln Nw, Kennesaw, GA 30144 Phone: 404-324-9413
Ms. Tanya S Wilcox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152 Phone: 770-515-9000
Mrs. Martricia Meshonna Turner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3805 Cherokee St Nw, Kennesaw, GA 30144 Phone: 770-426-5666 Fax: 770-426-6205
Ms. Stacey Levison, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2782 Cobb Pkwy Nw, Kennesaw, GA 30152 Phone: 770-590-8181
Ms. Kimberly Noel Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 Ernest W Barrett Pkwy Nw # 102b, Kennesaw, GA 30144 Phone: 678-354-2273
Nilomee Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2851 Cobb Pkwy Nw Ste 107, Kennesaw, GA 30152 Phone: 770-738-7560

Shea Elizabeth Reynolds, - Medicare Nurse Practitioner in Kennesaw, GA