Mr Ryan Earl Farmer, PA is a medicare enrolled "Physician Assistant" physician in Kingsport, Tennessee. His current practice location is
130 W Ravine Rd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 224-4000.
Mr Ryan Earl Farmer is licensed to practice in Tennessee (license number 4231) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992314587.
Physician's Profile
Full Name | Mr Ryan Earl Farmer |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 130 W Ravine Rd, Kingsport, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992314587
- Provider Enumeration Date: 07/29/2020
- Last Update Date: 07/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 3274953351
- Enrollment ID: I20201009002583
Medical Identifiers
Medical identifiers for Mr Ryan Earl Farmer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992314587 | NPI | - | NPPES |
0110-007376 | Other | VA | STATE LICENSING BOARD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 0110-007376 (Virginia) | Secondary |
363A00000X | Physician Assistant | 4231 (Tennessee) | Primary |
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. Mr Ryan Earl Farmer 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 |
Mr Ryan Earl Farmer, PA 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Mr Ryan Earl Farmer, PA 130 W Ravine Rd, Kingsport, TN 37660-3837 Ph: (423) 224-4000 |
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