Holly Ryan, MD in Salt Lake City, UT

Holly Ryan, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Salt Lake City, Utah. Her current practice location is 1160 E 3900 S Ste 3100, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 262-2806.

Holly Ryan is licensed to practice in Utah (license number 13423932-1205) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730610015.

Contact Information

	Holly Ryan, MD
	1160 E 3900 S Ste 3100, Salt Lake City, UT 84124-1202
	(801) 262-2806
	(801) 262-2023

Map and Direction

Physician's Profile

Full Name	Holly Ryan
Gender	Female
Speciality	Surgery - Vascular Surgery
Location	1160 E 3900 S Ste 3100, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730610015
Provider Enumeration Date: 03/27/2017
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8628346178
Enrollment ID: I20230913004143

Medical Identifiers

Medical identifiers for Holly Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730610015	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	13423932-1205 (Utah)	Primary

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. Holly Ryan allows following entities to bill medicare on her behalf.

Entity Name	Mountainstar Cardiovascular Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689721219 PECOS PAC ID: 1951404110 Enrollment ID: O20070309000071

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. Holly 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
Holly Ryan, MD Po Box 281490, Atlanta, GA 30384-1490 Ph: () -	Holly Ryan, MD 1160 E 3900 S Ste 3100, Salt Lake City, UT 84124-1202 Ph: (801) 262-2806

Reviews and Comments

Surgery Doctors in Salt Lake City, UT

Dr. Gregory Lawrence Livers, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 129 F St, Salt Lake City, UT 84103 Phone: 801-364-3091
Dr. Melanie Ann Dance, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1250 E 3900 S, Salt Lake City, UT 84124 Phone: 801-265-2000
Alexander Schurman, Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112 Phone: 801-581-2121
Kaohinani Joseph Longwolf, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132 Phone: 801-213-2598
Marisol Z. Monzon, MD Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112 Phone: 801-581-2121
Dr. Charles David Richards, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1391 E Farm Hill Dr, Salt Lake City, UT 84117 Phone: 801-272-6859
Dr. Teresa Reading, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 10th Ave, #100, Salt Lake City, UT 84103 Phone: 801-408-7660 Fax: 801-408-7650

Holly Ryan, MD - Medicare Surgery in Salt Lake City, UT