Jack Ryan, LADC, LPC in West Hartford, CT - Medicare Counselor Provider

Jack Ryan, LADC, LPC is a medicare enrolled "Counselor - Professional" provider in West Hartford, Connecticut. His current practice location is 2475 Albany Ave Ste 203b, West Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 519-6492.

Jack Ryan is licensed to practice in Connecticut (license number 003589) 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 1922252246.

Contact Information

	Jack Ryan, LADC, LPC
	2475 Albany Ave Ste 203b, West Hartford, CT 06117-2523
	(860) 519-6492
	(860) 519-6492

Map and Direction

Healthcare Provider's Profile

Full Name	Jack Ryan
Gender	Male
Speciality	Counselor - Professional
Location	2475 Albany Ave Ste 203b, West Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922252246
Provider Enumeration Date: 11/13/2008
Last Update Date: 02/08/2019

Medicare PECOS Information:

PECOS PAC ID: 3375988728
Enrollment ID: I20240226002348

Medical Identifiers

Medical identifiers for Jack Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922252246	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	0008885 (Connecticut)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	003589 (Connecticut)	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. Jack Ryan allows following entities to bill medicare on his behalf.

Entity Name	Cornerstone Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316486889 PECOS PAC ID: 7618239393 Enrollment ID: O20180315002371

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. Jack Ryan 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
Jack Ryan, LADC, LPC 53 Manor Ln, South Windsor, CT 06074-3214 Ph: (860) 519-6492	Jack Ryan, LADC, LPC 2475 Albany Ave Ste 203b, West Hartford, CT 06117-2523 Ph: (860) 519-6492

Reviews and Comments

Counselor in West Hartford, CT

Meghan Dunn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 345 N Main St, West Hartford, CT 06117 Phone: 860-937-3875
Dr. Julie B Saffir, PSY.D, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 S Highland St, West Hartford, CT 06119 Phone: 860-217-4240
Jacqueline Banasiewicz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 S Main St, West Hartford, CT 06107 Phone: 860-414-4245
Mrs. Rachel Carlson, PSYD Counselor Medicare: Medicare Enrolled Practice Location: 17 S Highland St, West Hartford, CT 06119 Phone: 860-258-4171
Mrs. Karen Elizabeth Brown, MED. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 968 Farmington Ave, Suite 202, West Hartford, CT 06107 Phone: 860-523-0288
Ms. Wendy Ellen Brus, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 805 Farmington Ave, 2nd Floor, West Hartford, CT 06119 Phone: 860-232-2801 Fax: 860-232-2801
Lisa Marie Ciorciari, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 S Highland St, West Hartford, CT 06119 Phone: 860-236-3649

Jack Ryan, LADC, LPC - Medicare Counselor in West Hartford, CT