Ryan Karmouta, MD, MBA is a medicare enrolled "Dermatology" physician in Salem, New Hampshire. His current practice location is
31 Stiles Rd Ste 2100, Salem, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 942-2020.
Ryan Karmouta is licensed to practice in New Hampshire (license number 22327) 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 1316441066.
Physician's Profile
| Full Name | Ryan Karmouta |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 31 Stiles Rd Ste 2100, Salem, New Hampshire |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316441066
- Provider Enumeration Date: 03/19/2018
- Last Update Date: 10/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648526509
- Enrollment ID: I20220722001995
Medical Identifiers
Medical identifiers for Ryan Karmouta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316441066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | MD26935 (Maine) | Secondary |
| 207N00000X | Dermatology | 318928 (New York) | Secondary |
| 207N00000X | Dermatology | MD479452 (Pennsylvania) | Secondary |
| 207N00000X | Dermatology | 22327 (New Hampshire) | 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 Karmouta allows following entities to bill medicare on his behalf.
| Entity Name | Optima Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831187764
PECOS PAC ID: 3971561648
Enrollment ID: O20220329002691 |
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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 Karmouta 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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Ryan Karmouta, MD, MBA
111 New Hampshire Ave Ste 2,
Portsmouth, NH 03801-2864
Ph: (802) 909-2053 | Ryan Karmouta, MD, MBA
31 Stiles Rd Ste 2100,
Salem, NH 03079-3035
Ph: (603) 942-2020 |
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