Mr Ryan Troy Porter, is a
Counselor - Professional based in Hainesville, Illinois. Mr Ryan Troy Porter is licensed to practice in Illinois (license number 180005697) and his current practice location is
513 Deer Crossing Ct, Hainesville, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 971-3579.
NPI number for Mr Ryan Troy Porter is 1811184955 and his current mailing address is 513 Deer Crossing Ct, Hainesville, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811184955.
Healthcare Provider's Profile
Full Name | Mr Ryan Troy Porter |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 513 Deer Crossing Ct, Hainesville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811184955
- Provider Enumeration Date: 10/03/2007
- Last Update Date: 07/16/2024
Medical Identifiers
Medical identifiers for Mr Ryan Troy Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811184955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 180005697 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180005697 (Illinois) | 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. Mr Ryan Troy Porter 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 |
Mr Ryan Troy Porter, 513 Deer Crossing Ct, Hainesville, IL 60030-3855 Ph: (847) 971-3579 | Mr Ryan Troy Porter, 513 Deer Crossing Ct, Hainesville, IL 60030-3855 Ph: (847) 971-3579 |
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