Craig Ryan, DO is a medicare enrolled "Emergency Medicine" physician in Storrs Mansfield, Connecticut. He went to University Of New England, College Of Osteo Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice State Of Connecticut and his current practice location is
1 Royce Cir, Suite 104, Storrs Mansfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 487-9200.
Craig Ryan is licensed to practice in Connecticut (license number 000311) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073581401.
Physician's Profile
Full Name | Craig Ryan |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 35 Years |
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Location | 1 Royce Cir, Storrs Mansfield, Connecticut |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Craig Ryan attended and graduated from University Of New England, College Of Osteo Medicine in 1989
NPI Data:
- NPI Number: 1073581401
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 01/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 8527253012
- Enrollment ID: I20101110000320
Medical Identifiers
Medical identifiers for Craig Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073581401 | NPI | - | NPPES |
1073581401 | Medicaid | CT | |
000311 | Other | CT | CT LIC # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 000311 (Connecticut) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
State Of Connecticut | 8022915677 | 115 |
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. Craig Ryan allows following entities to bill medicare on his behalf.
Entity Name | Midstate Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154425288 PECOS PAC ID: 7416840699 Enrollment ID: O20040203000244 |
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Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669466561 PECOS PAC ID: 8022915677 Enrollment ID: O20041122000596 |
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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. Craig Ryan 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 |
Craig Ryan, DO 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 Ph: (860) 679-7503 | Craig Ryan, DO 1 Royce Cir, Suite 104, Storrs Mansfield, CT 06268-2260 Ph: (860) 487-9200 |
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