Ryan Michael Donnelly, DO is a medicare enrolled "Family Medicine" physician in Bolton Landing, New York. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hudson Headwaters Health Network and his current practice location is
11 Cross St, Bolton Landing, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 644-9471.
Ryan Michael Donnelly is licensed to practice in New York (license number 288201) 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 1548671886.
Physician's Profile
| Full Name | Ryan Michael Donnelly |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 10 Years |
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| Location | 11 Cross St, Bolton Landing, 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:
- Ryan Michael Donnelly attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2014
NPI Data:
- NPI Number: 1548671886
- Provider Enumeration Date: 05/08/2014
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971805474
- Enrollment ID: I20170720000205
Medical Identifiers
Medical identifiers for Ryan Michael Donnelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548671886 | NPI | - | NPPES |
| 04752030 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 288201 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hudson Headwaters Health Network | 7416861208 | 167 |
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 Michael Donnelly allows following entities to bill medicare on his behalf.
| Entity Name | Hudson Headwaters Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194738344
PECOS PAC ID: 7416861208
Enrollment ID: O20031117000239 |
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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 Michael Donnelly 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 Michael Donnelly, DO
9 Carey Rd,
Queensbury, NY 12804-7880
Ph: (518) 761-0300 | Ryan Michael Donnelly, DO
11 Cross St,
Bolton Landing, NY 12814-0539
Ph: (518) 644-9471 |
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