Dr Ryan W Leonard, DO is a medicare enrolled "Otolaryngology" physician in West Valley City, Utah. He graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Granger Medical Clinic Pc, Granger Medical Specialists Llc and his current practice location is
2965 W 3500 S, West Valley City, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 965-3600.
Dr Ryan W Leonard is licensed to practice in Utah (license number 10361256-1204) 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 1649460163.
Physician's Profile
| Full Name | Dr Ryan W Leonard |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 21 Years |
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| Location | 2965 W 3500 S, West Valley City, Utah |
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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 Ryan W Leonard graduated from medical school in 2004
NPI Data:
- NPI Number: 1649460163
- Provider Enumeration Date: 07/31/2007
- Last Update Date: 06/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 7810073988
- Enrollment ID: I20170828004629
Medical Identifiers
Medical identifiers for Dr Ryan W Leonard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649460163 | NPI | - | NPPES |
| 0250118 | Other | WA | LABOR & INDUSTRIES |
| 1649460163 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 5101015940 (Michigan) | Secondary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | OP 60077459 (Washington) | Secondary |
| 207Y00000X | Otolaryngology | 10361256-1204 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Granger Medical Clinic Pc | 3476465691 | 149 |
| Granger Medical Specialists Llc | 4587074356 | 155 |
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 Ryan W Leonard allows following entities to bill medicare on his behalf.
| Entity Name | Granger Medical Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184657041
PECOS PAC ID: 3476465691
Enrollment ID: O20031105000159 |
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| Entity Name | Granger Medical Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376159368
PECOS PAC ID: 4587074356
Enrollment ID: O20201105002207 |
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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 Ryan W Leonard 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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Dr Ryan W Leonard, DO
7181 S Campus View Dr Ste 200,
West Jordan, UT 84084-4312
Ph: (801) 965-3600 | Dr Ryan W Leonard, DO
2965 W 3500 S,
West Valley City, UT 84119-3602
Ph: (801) 965-3600 |
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