Mr Ryan Womack, is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Ohio. His current practice location is
750 E Long St, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 340-6700.
Mr Ryan Womack is licensed to practice in Ohio (license number I.2304483) 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 1669030318.
Healthcare Provider's Profile
| Full Name | Mr Ryan Womack |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 750 E Long St, Columbus, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669030318
- Provider Enumeration Date: 05/29/2019
- Last Update Date: 08/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426412230
- Enrollment ID: I20230913000373
Medical Identifiers
Medical identifiers for Mr Ryan Womack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669030318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2304483 (Ohio) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCIII.162437 (Ohio) | Secondary |
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 Womack allows following entities to bill medicare on his behalf.
| Entity Name | Equitas Health, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518227453
PECOS PAC ID: 2769638154
Enrollment ID: O20120830000276 |
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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. Mr Ryan Womack 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 Womack,
1105 Schrock Rd Ste 400,
Columbus, OH 43229-1174
Ph: (614) 987-5620 | Mr Ryan Womack,
750 E Long St,
Columbus, OH 43203-1846
Ph: (614) 340-6700 |
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