Dr Jesse Thomas Ryan, MD is a medicare enrolled "Otolaryngology" physician in Liverpool, New York. He went to Icahn School Of Medicine At Mount Sinai and graduated in 2005 and has 19 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice University Otolaryngology Associates Of Central New York, Llp and his current practice location is
5100 W Taft Rd Ste 3e, Liverpool, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 452-2350.
Dr Jesse Thomas Ryan is licensed to practice in New York (license number 279632-1) 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 1285792143.
Physician's Profile
| Full Name | Dr Jesse Thomas Ryan |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 19 Years |
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| Location | 5100 W Taft Rd Ste 3e, Liverpool, New York |
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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. |
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Medical Education and Training:
- Dr Jesse Thomas Ryan attended and graduated from Icahn School Of Medicine At Mount Sinai in 2005
NPI Data:
- NPI Number: 1285792143
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 4284800483
- Enrollment ID: I20150730012675
Medical Identifiers
Medical identifiers for Dr Jesse Thomas Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285792143 | NPI | - | NPPES |
| 18856 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 0101240508 (Virginia) | Secondary |
| 207Y00000X | Otolaryngology | 12940 (North Dakota) | Secondary |
| 207Y00000X | Otolaryngology | 4301104789 (Michigan) | Secondary |
| 207Y00000X | Otolaryngology | 279632-1 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Otolaryngology Associates Of Central New York, Llp | 0941109789 | 14 |
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. Dr Jesse Thomas Ryan allows following entities to bill medicare on his behalf.
| Entity Name | University Otolaryngology Associates Of Central New York, Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497796361
PECOS PAC ID: 0941109789
Enrollment ID: O20031231000293 |
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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. Dr Jesse Thomas 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 |
|---|
Dr Jesse Thomas Ryan, MD
750 E Adams St Rm 241,
Syracuse, NY 13210-2306
Ph: (315) 464-4636 | Dr Jesse Thomas Ryan, MD
5100 W Taft Rd Ste 3e,
Liverpool, NY 13088-3809
Ph: (315) 452-2350 |
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