Timothy Sean Ryan, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kalamazoo, Michigan. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Georgetown Memorial Hospital, Waccamaw Community Hospital and his current practice location is
1000 Oakland Dr, Kalamazoo, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 337-4400.
Timothy Sean Ryan is licensed to practice in Michigan (license number 5101021286) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376982470.
Physician's Profile
Full Name | Timothy Sean Ryan |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 11 Years |
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Location | 1000 Oakland Dr, Kalamazoo, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Timothy Sean Ryan graduated from medical school in 2013
NPI Data:
- NPI Number: 1376982470
- Provider Enumeration Date: 06/21/2013
- Last Update Date: 03/31/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799001905
- Enrollment ID: I20171218001532
Medical Identifiers
Medical identifiers for Timothy Sean Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376982470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 5101021286 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 5101021286 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Georgetown Memorial Hospital | 8224942123 | 82 |
Waccamaw Community Hospital | 9133036932 | 82 |
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. Timothy Sean Ryan allows following entities to bill medicare on his behalf.
Entity Name | Georgetown Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
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Entity Name | Waccamaw Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
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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. Timothy Sean 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 Address | Practice Location Address |
Timothy Sean Ryan, DO 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: (269) 337-4400 | Timothy Sean Ryan, DO 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: (269) 337-4400 |
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