Kathy J Reynolds, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tyler, TX

Kathy J Reynolds, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tyler, Texas. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Iii Pa and her current practice location is 1000 S Beckham Ave, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 526-1068.

Kathy J Reynolds is licensed to practice in Texas (license number 541141) 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 1194878934.

Contact Information

Kathy J Reynolds, CRNA
1000 S Beckham Ave,
Tyler, TX 75701-1908
(903) 526-1068
(903) 593-4290



Provider's Profile

Full NameKathy J Reynolds
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience27 Years
Location1000 S Beckham Ave, Tyler, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathy J Reynolds graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1194878934
  • Provider Enumeration Date: 01/18/2007
  • Last Update Date: 07/02/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5294790606
  • Enrollment ID: I20041124000801

Medical Identifiers

Medical identifiers for Kathy J Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194878934NPI-NPPES
86322UOtherTXBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 541141 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Longview Regional Medical CenterLongview, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northstar Anesthesia Iii Pa0042630501335

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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. Kathy J Reynolds allows following entities to bill medicare on her behalf.
Entity NameLongview Medical Center Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508824038
PECOS PAC ID: 2961490966
Enrollment ID: O20040505001835

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Entity NameTexas Ams Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174926125
PECOS PAC ID: 9133441769
Enrollment ID: O20141209001912

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Entity NameNorthstar Anesthesia Iii Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356968952
PECOS PAC ID: 0042630501
Enrollment ID: O20201022000080

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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. Kathy J 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 AddressPractice Location Address
Kathy J Reynolds, CRNA
Po Box 8027,
Tyler, TX 75711-8027

Ph: (903) 526-1068
Kathy J Reynolds, CRNA
1000 S Beckham Ave,
Tyler, TX 75701-1908

Ph: (903) 526-1068

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Nurse Anesthetist, Certified Registered Nurses in Tyler, TX

Mrs. Glenda R Sealey, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1424 East Front, Tyler, TX 75702
Phone: 903-595-4144    Fax: 903-596-7541
John Glynn Jeansonne, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-526-1068    Fax: 903-593-4290
Jeffrey Manglicmot, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-531-4522    
Harold Richie Bandalan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-526-1068    Fax: 903-593-4290
Jeffrey David Barker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-597-0351    
Gregory Mallett,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-606-4522    
Cara L Dewolfe, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-593-8441    

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