Shawna Marie Reynolds, PA - Medicare Physician Assistant in Blackfoot, ID

Shawna Marie Reynolds, PA is a medicare enrolled "Physician Assistant" in Blackfoot, Idaho. Her current practice location is 1441 Parkway Dr, Blackfoot, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 785-2600.

Shawna Marie Reynolds is licensed to practice in Idaho (license number PA778) 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 1023260783.

Contact Information

Shawna Marie Reynolds, PA
1441 Parkway Dr,
Blackfoot, ID 83221-0000
(208) 785-2600
(208) 785-1762



Provider's Profile

Full NameShawna Marie Reynolds
GenderFemale
SpecialityPhysician Assistant
Location1441 Parkway Dr, Blackfoot, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023260783
  • Provider Enumeration Date: 10/14/2008
  • Last Update Date: 04/23/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6204998800
  • Enrollment ID: I20081216000255

Medical Identifiers

Medical identifiers for Shawna Marie Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023260783NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA-778 (Idaho)Secondary
363A00000XPhysician Assistant PA778 (Idaho)Primary

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. Shawna Marie 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
Shawna Marie Reynolds, PA
1441 Parkway Dr,
Blackfoot, ID 83221-0000

Ph: (208) 785-2600
Shawna Marie Reynolds, PA
1441 Parkway Dr,
Blackfoot, ID 83221-0000

Ph: (208) 785-2600

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Physician Assistant Nurses in Blackfoot, ID

John Todd Allen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 700 E Alice St, Blackfoot, ID 83221
Phone: 208-785-1200    
Beverly Hanson, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 98 Poplar St, Blackfoot, ID 83221
Phone: 208-782-3993    Fax: 208-782-3994
Heather Faye Grimmett, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-2600    
Lucas P Belford, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 700 E Alice St, Blackfoot, ID 83221
Phone: 208-785-1200    
Ryan Blair Killpack, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 98 Poplar St, Blackfoot, ID 83221
Phone: 208-785-4100    
Debra Erramouspe, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-2600    

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