Marissa Ryan, is a
Community Health Worker based in San Luis Obispo, California. Marissa Ryan is licensed to practice in * (Not Available) (license number ) and her current practice location is
3765 S Higuera St Ste 100, San Luis Obispo, California. She can be reached at her office (for appointments etc.) via phone at
(805) 781-3535.
NPI number for Marissa Ryan is 1881890382 and her current mailing address is 1255 Kendall Rd, San Luis Obispo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881890382.
Healthcare Provider's Profile
| Full Name | Marissa Ryan |
|---|
| Gender | Female |
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| Speciality | Community Health Worker |
|---|
| Location | 3765 S Higuera St Ste 100, San Luis Obispo, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1881890382
- Provider Enumeration Date: 06/22/2007
- Last Update Date: 05/15/2018
Medical Identifiers
Medical identifiers for Marissa Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881890382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | 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. Marissa Ryan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marissa Ryan,
1255 Kendall Rd,
San Luis Obispo, CA 93401-8750
Ph: () - | Marissa Ryan,
3765 S Higuera St Ste 100,
San Luis Obispo, CA 93401
Ph: (805) 781-3535 |
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