Lacey Bascom Reynolds, OT in Provo, UT - Medicare Occupational Therapist Provider

Lacey Bascom Reynolds, OT is a medicare enrolled "Occupational Therapist" provider in Provo, Utah. Her current practice location is 1165 E 300 N, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 852-4525.

Lacey Bascom Reynolds is licensed to practice in Utah (license number 8428814-4201) 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 1144533993.

Contact Information

	Lacey Bascom Reynolds, OT
	1165 E 300 N, Provo, UT 84606-3539
	(801) 852-4525
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lacey Bascom Reynolds
Gender	Female
Speciality	Occupational Therapist
Location	1165 E 300 N, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144533993
Provider Enumeration Date: 07/22/2010
Last Update Date: 05/02/2023

Medicare PECOS Information:

PECOS PAC ID: 6608900840
Enrollment ID: I20230214002404

Medical Identifiers

Medical identifiers for Lacey Bascom Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144533993	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	8428814-4201 (Utah)	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. Lacey Bascom Reynolds allows following entities to bill medicare on her behalf.

Provider Name	University Of Utah Adult Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Lacey Bascom 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
Lacey Bascom Reynolds, OT 1165 E 300 N, Provo, UT 84606-3539 Ph: (801) 852-4525	Lacey Bascom Reynolds, OT 1165 E 300 N, Provo, UT 84606-3539 Ph: (801) 852-4525

Reviews and Comments

Occupational Therapist in Provo, UT

Darby Melesse Herrmann, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850
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Independence Rehab, Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5314 River Run Dr, Suite 140, Provo, UT 84604 Phone: 801-494-0486 Fax: 801-494-0533
Mr. Darin S. Mcspadden, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5314 River Run Dr Ste 140, Provo, UT 84604 Phone: 801-426-4905
Katrina Leigh, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 578 W 1850 N, Provo, UT 84604 Phone: 408-340-0571

Lacey Bascom Reynolds, OT - Medicare Occupational Therapist in Provo, UT