Mr Ryan Gerald Potempa, MS, LMFT in Peoria, IL - Medicare Marriage & Family Therapist Provider

Mr Ryan Gerald Potempa, MS, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Peoria, Illinois. His current practice location is 7617 N Villa Wood Ln, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 693-8200.

Mr Ryan Gerald Potempa is licensed to practice in Illinois (license number 166.001366) 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 1114441128.

Contact Information

	Mr Ryan Gerald Potempa, MS, LMFT
	7617 N Villa Wood Ln, Peoria, IL 61614-1588
	(309) 693-8200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Ryan Gerald Potempa
Gender	Male
Speciality	Marriage & Family Therapist
Location	7617 N Villa Wood Ln, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114441128
Provider Enumeration Date: 08/01/2017
Last Update Date: 03/07/2024

Medicare PECOS Information:

PECOS PAC ID: 8820435019
Enrollment ID: I20240323000019

Medical Identifiers

Medical identifiers for Mr Ryan Gerald Potempa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114441128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	166.001366 (Illinois)	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. Mr Ryan Gerald Potempa allows following entities to bill medicare on his behalf.

Entity Name	Heritage Professional Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033244173 PECOS PAC ID: 6002707262 Enrollment ID: O20040324001488

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. Mr Ryan Gerald Potempa 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
Mr Ryan Gerald Potempa, MS, LMFT 7617 N Villa Wood Ln, Peoria, IL 61614-1588 Ph: () -	Mr Ryan Gerald Potempa, MS, LMFT 7617 N Villa Wood Ln, Peoria, IL 61614-1588 Ph: (309) 693-8200

Reviews and Comments

Marriage & Family Therapist in Peoria, IL

Sparkle L Nicks, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10508 Churchill Dr, Peoria, IL 61615 Phone: 309-706-3676
Hannah Dobson, MA,AMFT, QMHP Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7210 N Villa Lake Dr Ste C, Peoria, IL 61614 Phone: 309-713-1485
Jennifer Labanowski, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 706 E Forrest Hill Ave, Peoria, IL 61603 Phone: 262-389-0656 Fax: 888-717-3028
Diogenes Leslie Perera, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8801 N University St, Peoria, IL 61615 Phone: 309-676-0538
Tenneille Ely, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3716 W Brighton Ave, Peoria, IL 61615 Phone: 309-692-7755
Zoe Louise Solomon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2000 W Pioneer Pkwy Ste 20, Peoria, IL 61615 Phone: 309-750-0119

Mr Ryan Gerald Potempa, MS, LMFT - Medicare Couples Therapy in Peoria, IL