Timothy Wayne Ryschon, MD is a medicare enrolled "Emergency Medicine" physician in Pensacola Beach, Florida. His current practice location is
2 Portofino Dr Ste 2107, Pensacola Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(720) 206-7058.
Timothy Wayne Ryschon is licensed to practice in Colorado (license number 43417) 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 1730183526.
Physician's Profile
| Full Name | Timothy Wayne Ryschon |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 2 Portofino Dr Ste 2107, Pensacola Beach, Florida |
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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: 1730183526
- Provider Enumeration Date: 06/09/2005
- Last Update Date: 09/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507896230
- Enrollment ID: I20120309000628
Medical Identifiers
Medical identifiers for Timothy Wayne Ryschon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730183526 | NPI | - | NPPES |
| 611583 | Medicaid | AZ | |
| 02783533 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 67784 (Tennessee) | Secondary |
| 208000000X | Pediatrics | 44159 (Arizona) | Secondary |
| 207P00000X | Emergency Medicine | 43417 (Colorado) | 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. Timothy Wayne Ryschon allows following entities to bill medicare on his behalf.
| Entity Name | Phoenix Children's Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922112044
PECOS PAC ID: 0446278584
Enrollment ID: O20051107000704 |
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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 Wayne Ryschon 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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Timothy Wayne Ryschon, MD
2 Portofino Dr Ste 2106,
Pensacola Beach, FL 32561-2503
Ph: (720) 206-7058 | Timothy Wayne Ryschon, MD
2 Portofino Dr Ste 2107,
Pensacola Beach, FL 32561-2503
Ph: (720) 206-7058 |
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