Ryan Douglas, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Fort Collins, Colorado. His current practice location is
1244 Solstice Ln, Fort Collins, Colorado. You can reach out to his office (for appointments etc.) via phone at
(707) 799-8875.
Ryan Douglas is licensed to practice in California (license number 87343) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265765259.
Healthcare Provider's Profile
Full Name | Ryan Douglas |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 1244 Solstice Ln, Fort Collins, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265765259
- Provider Enumeration Date: 09/09/2009
- Last Update Date: 11/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840516407
- Enrollment ID: I20150226001283
Medical Identifiers
Medical identifiers for Ryan Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265765259 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 09923823 (Colorado) | Secondary |
101YM0800X | Counselor - Mental Health | 87343 (California) | 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. Ryan Douglas allows following entities to bill medicare on his behalf.
Entity Name | Truecare24 Physicians Group, S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710560545 PECOS PAC ID: 7012308802 Enrollment ID: O20220124000027 |
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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. Ryan Douglas 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 |
Ryan Douglas, LCSW 5060 Shoreham Pl Ste 330, San Diego, CA 92122-5976 Ph: (707) 799-8875 | Ryan Douglas, LCSW 1244 Solstice Ln, Fort Collins, CO 80525-1253 Ph: (707) 799-8875 |
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