Ryan Sershon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Germantown, Wisconsin. His current practice location is
W175n11081 Stonewood Dr Ste 212, Germantown, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 244-6177.
Ryan Sershon is licensed to practice in Wisconsin (license number 8525) 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 1407397938.
Healthcare Provider's Profile
| Full Name | Ryan Sershon |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | W175n11081 Stonewood Dr Ste 212, Germantown, Wisconsin |
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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: 1407397938
- Provider Enumeration Date: 03/16/2017
- Last Update Date: 08/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 6103193701
- Enrollment ID: I20170602001299
Medical Identifiers
Medical identifiers for Ryan Sershon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407397938 | NPI | - | NPPES |
| 8525-123 | Other | WI | LCSW |
| 1000677057 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15925 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8525 (Wisconsin) | 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 Sershon allows following entities to bill medicare on his behalf.
| Entity Name | Cornerstone Counseling Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033127246
PECOS PAC ID: 1456256023
Enrollment ID: O20031205000446 |
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| Entity Name | Waukesha Health System, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346353695
PECOS PAC ID: 4082519517
Enrollment ID: O20040422001085 |
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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 Sershon 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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Ryan Sershon, LCSW
1035 W Glen Oaks Ln Ste 110,
Mequon, WI 53092-3392
Ph: (262) 244-6178 | Ryan Sershon, LCSW
W175n11081 Stonewood Dr Ste 212,
Germantown, WI 53022-4771
Ph: (262) 244-6177 |
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