Shane Robert Ryan, is a
Community Health Worker based in Concord, California. Shane Robert Ryan is licensed to practice in * (Not Available) (license number ) and his current practice location is
2280 Diamond Blvd Ste 500, Concord, California. He can be reached at his office (for appointments etc.) via phone at
(925) 482-2223.
NPI number for Shane Robert Ryan is 1972199362 and his current mailing address is 2280 Diamond Blvd Ste 500, Concord, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972199362.
Healthcare Provider's Profile
| Full Name | Shane Robert Ryan |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 2280 Diamond Blvd Ste 500, Concord, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972199362
- Provider Enumeration Date: 12/18/2020
- Last Update Date: 12/04/2023
Medical Identifiers
Medical identifiers for Shane Robert Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972199362 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | 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. Shane Robert Ryan 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 |
|---|
Shane Robert Ryan,
2280 Diamond Blvd Ste 500,
Concord, CA 94520-5719
Ph: (925) 759-7542 | Shane Robert Ryan,
2280 Diamond Blvd Ste 500,
Concord, CA 94520-5719
Ph: (925) 482-2223 |
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