Ryan Reynolds, MD in Tampa, FL - Medicare Pediatrics

Ryan Reynolds, MD is a medicare enrolled "Pediatrics" physician in Tampa, Florida. His current practice location is 2808 W Dr Martin Luther King Jr Blvd, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 397-5300.

Ryan Reynolds is licensed to practice in Florida (license number ME146121) 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 1982132783.

Contact Information

	Ryan Reynolds, MD
	2808 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6306
	(813) 397-5300
	(813) 738-2016

Map and Direction

Physician's Profile

Full Name	Ryan Reynolds
Gender	Male
Speciality	Pediatrics
Location	2808 W Dr Martin Luther King Jr Blvd, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982132783
Provider Enumeration Date: 05/24/2017
Last Update Date: 01/09/2024

Medicare PECOS Information:

PECOS PAC ID: 6305258872
Enrollment ID: I20201208001126

Medical Identifiers

Medical identifiers for Ryan Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982132783	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME146121 (Florida)	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 Reynolds allows following entities to bill medicare on his behalf.

Entity Name	Tampa Family Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356347413 PECOS PAC ID: 1254243769 Enrollment ID: O20110105001043

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 Reynolds 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 Reynolds, MD 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 Ph: (813) 250-2506	Ryan Reynolds, MD 2808 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6306 Ph: (813) 397-5300

Reviews and Comments

Pediatrics Doctors in Tampa, FL

Tracy C Burton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, 5th Floor, Tampa, FL 33606 Phone: 813-259-8752 Fax: 813-259-8749
Dr. Steven Lee Ford, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201 Fax: 813-974-2812
Donald F Pitisci, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2506 W Virginia Ave, Tampa, FL 33607 Phone: 813-870-3720 Fax: 813-877-0184
Dr. Carolyn Louise Marasco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10330 N Dale Mabry Hwy, Ste 190, Tampa, FL 33618 Phone: 813-963-7788 Fax: 813-443-8149
Ellen Verena Jorgensen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12901 Bruce B Downs Blvd, Mdc 15, Tampa, FL 33612 Phone: 813-974-2583
Dr. Jonni H Klapper, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1202 E Palm Ave, School Health Services, Tampa, FL 33605 Phone: 813-273-7020 Fax: 813-273-7328
Dr. Raafat Ismail Hamzeh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8907 Regents Park Dr, Suite 330, Tampa, FL 33647 Phone: 813-907-0233 Fax: 813-907-0064

Ryan Reynolds, MD - Medicare Pediatrics in Tampa, FL