Dr Ryan A Duckworth, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Jenison, Michigan. He graduated from healthcare school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Hope And Wholeness Psychology Center Llc and his current practice location is
1388 Baldwin St Ste A, Jenison, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 296-2130.
Dr Ryan A Duckworth is licensed to practice in Michigan (license number 6301016570) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740680883.
Healthcare Provider's Profile
| Full Name | Dr Ryan A Duckworth |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 9 Years |
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| Location | 1388 Baldwin St Ste A, Jenison, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ryan A Duckworth graduated from medical school in 2015
NPI Data:
- NPI Number: 1740680883
- Provider Enumeration Date: 08/26/2014
- Last Update Date: 08/12/2016
Medicare PECOS Information:
- PECOS PAC ID: 2961799440
- Enrollment ID: I20160927002206
Medical Identifiers
Medical identifiers for Dr Ryan A Duckworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740680883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6301016570 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hope And Wholeness Psychology Center Llc | 6901175082 | 7 |
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. Dr Ryan A Duckworth allows following entities to bill medicare on his behalf.
| Entity Name | Kristine Koetje Ma, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316010770
PECOS PAC ID: 3375701873
Enrollment ID: O20120229000489 |
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| Entity Name | Hope & Wholeness Psychology Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841726809
PECOS PAC ID: 6901175082
Enrollment ID: O20170705001775 |
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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. Dr Ryan A Duckworth 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 |
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Dr Ryan A Duckworth, PSYD
1388 Baldwin St Ste A,
Jenison, MI 49428-8937
Ph: (616) 296-2130 | Dr Ryan A Duckworth, PSYD
1388 Baldwin St Ste A,
Jenison, MI 49428-8937
Ph: (616) 296-2130 |
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