Ryan D Kearney, MD is a medicare enrolled "Pediatrics" physician in Prineville, Oregon. His current practice location is
757 E 1st St, Prineville, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 383-3005.
Ryan D Kearney is licensed to practice in Oregon (license number MD203745) 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 1700105046.
Physician's Profile
Full Name | Ryan D Kearney |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 757 E 1st St, Prineville, Oregon |
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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: 1700105046
- Provider Enumeration Date: 05/26/2010
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345556833
- Enrollment ID: I20160915000867
Medical Identifiers
Medical identifiers for Ryan D Kearney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700105046 | NPI | - | NPPES |
500719609 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD203745 (Oregon) | 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 D Kearney allows following entities to bill medicare on his behalf.
Entity Name | The Association Of Chrmc And University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585 |
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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 D Kearney 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 D Kearney, MD Po Box 4228, Portland, OR 97208-4228 Ph: (541) 383-3005 | Ryan D Kearney, MD 757 E 1st St, Prineville, OR 97754-2005 Ph: (541) 383-3005 |
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