Lael Jo Reynolds, - Medicare Nurse Practitioner in Ammon, ID

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.

Contact Information

Lael Jo Reynolds,
2705 E 17th St,
Ammon, ID 83406-6601
(208) 346-7522
Not Available



Provider's Profile

Full NameLael Jo Reynolds
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location2705 E 17th St, Ammon, Idaho
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:
  • 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.
IdentifierTypeStateIssuer
1689332769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP1700XRegistered Nurse - Perinatal N-30935 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pearl Health Clinic084035607723

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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. Lael Jo Reynolds allows following entities to bill medicare on her behalf.
Entity NamePearl Health Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
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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Registered Nurse Nurses in Ammon, ID

Ms. Ruth Ellen King, R.N.
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Owen St, Ammon, ID 83406
Phone: 208-525-4429    
Laura Lee Scott, NP-C
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 1547 Midway Ave Suite B, Ammon, ID 83406
Phone: 208-497-0429    Fax: 208-497-0430
Robynn Howell,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1499 Curlew Dr, Ammon, ID 83406
Phone: 208-313-7600    

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