Marisa Ann Ryan, MD is a medicare enrolled "Otolaryngology" physician in Lehi, Utah. She went to Boston University School Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Peak Ent Associates and her current practice location is
3000 N Triumph Blvd Ste 260, Lehi, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 768-3500.
Marisa Ann Ryan is licensed to practice in Utah (license number 12974559-1205) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346567369.
Physician's Profile
| Full Name | Marisa Ann Ryan |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Experience | 15 Years |
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| Location | 3000 N Triumph Blvd Ste 260, Lehi, Utah |
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| Accepts Medicare Assignments | Yes. She 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:
- Marisa Ann Ryan attended and graduated from Boston University School Of Medicine in 2010
NPI Data:
- NPI Number: 1346567369
- Provider Enumeration Date: 04/29/2010
- Last Update Date: 08/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931414034
- Enrollment ID: I20220907002779
Medical Identifiers
Medical identifiers for Marisa Ann Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346567369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | D83114 (Maryland) | Secondary |
| 207Y00000X | Otolaryngology | 88123 (Georgia) | Secondary |
| 207Y00000X | Otolaryngology | 047679149 (Connecticut) | Secondary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 12974559-1205 (Utah) | Secondary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 88123 (Georgia) | Secondary |
| 207Y00000X | Otolaryngology | 12974559-1205 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Peak Ent Associates | 4284781543 | 24 |
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. Marisa Ann Ryan allows following entities to bill medicare on her behalf.
| Entity Name | Peak Ent Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346489036
PECOS PAC ID: 4284781543
Enrollment ID: O20090402000646 |
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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. Marisa Ann 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 |
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Marisa Ann Ryan, MD
1055 N 300 W Ste 401,
Provo, UT 84604-3306
Ph: (801) 357-7499 | Marisa Ann Ryan, MD
3000 N Triumph Blvd Ste 260,
Lehi, UT 84043-4999
Ph: (801) 768-3500 |
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