Ms Mary Diane Tryan, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Escanaba, Michigan. She graduated from healthcare school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Catholic Social Services Of The Up and her current practice location is
1100 Ludington St, Ste 401, Escanaba, Michigan. You can reach out to her office (for appointments etc.) via phone at
(906) 786-7212.
Ms Mary Diane Tryan is licensed to practice in Michigan (license number 6801079906) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386678084.
Healthcare Provider's Profile
| Full Name | Ms Mary Diane Tryan |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 26 Years |
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| Location | 1100 Ludington St, Escanaba, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Mary Diane Tryan graduated from medical school in 1998
NPI Data:
- NPI Number: 1386678084
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 09/28/2009
Medicare PECOS Information:
- PECOS PAC ID: 9234133240
- Enrollment ID: I20060906000311
Medical Identifiers
Medical identifiers for Ms Mary Diane Tryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386678084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 6801079906 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801079906 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Catholic Social Services Of The Up | 7012999865 | 5 |
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. Ms Mary Diane Tryan allows following entities to bill medicare on her behalf.
| Entity Name | Catholic Social Services Of The Up |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619907052
PECOS PAC ID: 7012999865
Enrollment ID: O20060906000215 |
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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. Ms Mary Diane Tryan 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 |
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Ms Mary Diane Tryan, LMSW
1100 Ludington St, Ste 401,
Escanaba, MI 49829-3542
Ph: (906) 786-7212 | Ms Mary Diane Tryan, LMSW
1100 Ludington St, Ste 401,
Escanaba, MI 49829-3542
Ph: (906) 786-7212 |
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