Ryan Patrick Mooneyham, is a
Student In An Organized Health Care Education/training Program based in Iowa City, Iowa. Ryan Patrick Mooneyham is licensed to practice in Iowa (license number DDS-09792) and his current practice location is
200 Hawkins Dr, Iowa City, Iowa. He can be reached at his office (for appointments etc.) via phone at
(319) 356-2205.
NPI number for Ryan Patrick Mooneyham is 1033705066 and his current mailing address is 51300 Pomerantz Family Pavilion, Iowa City, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033705066.
Healthcare Provider's Profile
| Full Name | Ryan Patrick Mooneyham |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 200 Hawkins Dr, Iowa City, Iowa |
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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: 1033705066
- Provider Enumeration Date: 12/14/2020
- Last Update Date: 10/24/2022
Medical Identifiers
Medical identifiers for Ryan Patrick Mooneyham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033705066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 173 (Nebraska) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | DDS-09792 (Iowa) | 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. Ryan Patrick Mooneyham 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 |
|---|
Ryan Patrick Mooneyham,
51300 Pomerantz Family Pavilion,
Iowa City, IA 52242-1049
Ph: (319) 356-2205 | Ryan Patrick Mooneyham,
200 Hawkins Dr,
Iowa City, IA 52242-1009
Ph: (319) 356-2205 |
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