Mr Jesse Lynn Ryan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Thomson, Georgia. He went to Medical University Of South Carolina College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Consultants Of Augusta Llc and his current practice location is
521 Hill Street, Sw, Thomson, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 597-5239.
Mr Jesse Lynn Ryan is licensed to practice in Georgia (license number R074053) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1376603290.
Provider's Profile
| Full Name | Mr Jesse Lynn Ryan |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 40 Years |
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| Location | 521 Hill Street, Sw, Thomson, Georgia |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jesse Lynn Ryan attended and graduated from Medical University Of South Carolina College Of Medicine in 1984
NPI Data:
- NPI Number: 1376603290
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 01/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 6204904519
- Enrollment ID: I20081014000011
Medical Identifiers
Medical identifiers for Mr Jesse Lynn Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376603290 | NPI | - | NPPES |
| 000519384E | Medicaid | GA | |
| 43ZCBFH | Other | GA | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | R074053 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Anesthesia Consultants Of Augusta Llc | 6204905763 | 72 |
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. Mr Jesse Lynn Ryan allows following entities to bill medicare on his behalf.
| Entity Name | Fulton Dekalb Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992799050
PECOS PAC ID: 6406757590
Enrollment ID: O20040614000100 |
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| Entity Name | Anesthesia Consultants Of Augusta Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881877793
PECOS PAC ID: 6204905763
Enrollment ID: O20080523000204 |
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| Entity Name | Ams Southeast Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487107157
PECOS PAC ID: 3870880792
Enrollment ID: O20160921000551 |
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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. Mr Jesse Lynn 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 |
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Mr Jesse Lynn Ryan, CRNA
4282 Deerwood Ln,
Evans, GA 30809-4224
Ph: (706) 597-5239 | Mr Jesse Lynn Ryan, CRNA
521 Hill Street, Sw,
Thomson, GA 30824-2118
Ph: (706) 597-5239 |
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