Thomas P Ryan, DO - Medicare Internal Medicine in Fort Wayne, IN

Thomas P Ryan, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Fort Wayne, Indiana. His current practice location is 2622 Lake Ave, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 425-3100.

Thomas P Ryan is licensed to practice in Indiana (license number 02001220A) 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 1275507055.

Contact Information

Thomas P Ryan, DO
2622 Lake Ave,
Fort Wayne, IN 46805-5410
(260) 425-3100
(260) 425-3604

Map and Direction




Physician's Profile

Full NameThomas P Ryan
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location2622 Lake Ave, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275507055
  • Provider Enumeration Date: 02/16/2006
  • Last Update Date: 03/13/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0648462564
  • Enrollment ID: I20101011001119

Medical Identifiers

Medical identifiers for Thomas P Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275507055NPI-NPPES
100330950MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 02001220A (Indiana)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. Thomas P Ryan allows following entities to bill medicare on his behalf.
Entity NameSt Joseph Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811952070
PECOS PAC ID: 2264413491
Enrollment ID: O20040525001030

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. Thomas P Ryan 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 AddressPractice Location Address
Thomas P Ryan, DO
2622 Lake Ave,
Fort Wayne, IN 46805-5410

Ph: (260) 425-3100
Thomas P Ryan, DO
2622 Lake Ave,
Fort Wayne, IN 46805-5410

Ph: (260) 425-3100

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.