Ryan Basak, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Hemet, California. His current practice location is
1117 E Devonshire Ave, Hemet, California. You can reach out to his office (for appointments etc.) via phone at
(951) 552-2811.
Ryan Basak is licensed to practice in * (Not Available) (license number ) 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 1750867784.
Physician's Profile
Full Name | Ryan Basak |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1117 E Devonshire Ave, Hemet, California |
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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: 1750867784
- Provider Enumeration Date: 07/12/2018
- Last Update Date: 04/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759787724
- Enrollment ID: I20210831002434
Medical Identifiers
Medical identifiers for Ryan Basak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750867784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | A174399 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Ryan Basak allows following entities to bill medicare on his behalf.
Entity Name | Providence Healthcare Partners Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699157701 PECOS PAC ID: 2163723610 Enrollment ID: O20151229000900 |
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Entity Name | Seven Star Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710580808 PECOS PAC ID: 4789091026 Enrollment ID: O20210401001919 |
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Entity Name | Seven Star Hospital Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043813140 PECOS PAC ID: 4789083338 Enrollment ID: O20210601002852 |
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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 Basak 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 |
Ryan Basak, 2952 Van Buren Blvd Apt 22, Riverside, CA 92503-9310 Ph: (908) 500-2120 | Ryan Basak, 1117 E Devonshire Ave, Hemet, CA 92543-3083 Ph: (951) 552-2811 |
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