Ryan Ross Ervin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Waldport, Oregon. His current practice location is
920 Sw Range Dr, Waldport, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 563-3197.
Ryan Ross Ervin is licensed to practice in Oregon (license number L11132) 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 1841851508.
Healthcare Provider's Profile
Full Name | Ryan Ross Ervin |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 920 Sw Range Dr, Waldport, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841851508
- Provider Enumeration Date: 06/24/2019
- Last Update Date: 05/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052787520
- Enrollment ID: I20221025001969
Medical Identifiers
Medical identifiers for Ryan Ross Ervin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841851508 | NPI | - | NPPES |
500765374 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
104100000X | Social Worker | L11132 (Oregon) | Secondary |
1041C0700X | Social Worker - Clinical | L11132 (Oregon) | 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. Ryan Ross Ervin allows following entities to bill medicare on his behalf.
Entity Name | Samaritan Pacific Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174888010 PECOS PAC ID: 2466353529 Enrollment ID: O20040204000304 |
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Entity Name | Samaritan Pacific Health Services Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163 |
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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. Ryan Ross Ervin 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 |
Ryan Ross Ervin, LCSW Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Ryan Ross Ervin, LCSW 920 Sw Range Dr, Waldport, OR 97394-9634 Ph: (541) 563-3197 |
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