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MS. MARY KATHERINE REYNOLDS PA
NPI 1417174673
Physician Assistant in West Union, SC

Active since April 19, 2007PECOS Enrolled
1205 N HIGHWAY 11, WEST UNION, SC 29696(864) 638-5402(864) 638-6126 Get Directions Write a Review

NPPES record last updated: June 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Katherine Reynolds Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY KATHERINE REYNOLDS PA (NPI 1417174673) is an individual physician assistant in West Union, South Carolina, licensed in South Carolina (A438) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417174673
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MARY KATHERINE REYNOLDSCredential: PA
Location Address1205 N HIGHWAY 11West Union, SC 29696-2715
Mailing AddressPo Box 219West Union, SC 29696-0219 · (864) 638-5402 · Fax (864) 638-6126
Phone(864) 638-5402
Fax(864) 638-6126
Sole ProprietorNo
Enumeration DateApril 19, 2007
Last NPPES UpdateJune 10, 2009
✔ NPI 1417174673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · A438
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1205 N HIGHWAY 11, West Union, SC 29696
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Katherine Reynolds Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29696 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOLDEN CORNER FAMILY PRAC
Family Medicine
1205 N HIGHWAY 11
WEST UNION, SC 29696
Oconee County (864) 638-5402
DR. CHRISTINA A BOOKER M.D.
Family Medicine
1205 N HIGHWAY 11
WEST UNION, SC 29696
Oconee County (864) 638-5402
DR. EDWARD H. BOOKER SR. M.D.
Family Medicine
1205 N HIGHWAY 11
WEST UNION, SC 29696
Oconee County (864) 638-5402
DR. EDWARD H. BOOKER JR. M.D.
Family Medicine
1205 N HIGHWAY 11
WEST UNION, SC 29696
Oconee County (864) 638-5402
BOOKER FAMILY PRACTICE, LLC
Family Medicine
1205 N HIGHWAY 11
WEST UNION, SC 29696
Oconee County (864) 638-5402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Reynolds's NPI number?

The NPI number for Mary Reynolds is 1417174673. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Mary Reynolds located?

Mary Reynolds practices at 1205 N Highway 11, West Union, SC 29696. The listed phone number is (864) 638-5402.

What is Mary Reynolds's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Reynolds enrolled in Medicare?

Yes. Mary Reynolds is registered in the Medicare PECOS enrollment system.

What insurance does Mary Reynolds accept?

Health plans from First Choice Next list Mary Reynolds as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Reynolds was last updated on June 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.