Mr Mark Kenneth Ryan, CRNP MSN in Laurel, DE - Medicare Nurse Practitioner

Mr Mark Kenneth Ryan, CRNP MSN is a medicare enrolled "Nurse Practitioner - Family" in Laurel, Delaware. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Tidalhealth Physician Network, Inc. and his current practice location is 30549 Sussex Hwy, Laurel, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 715-5214.

Mr Mark Kenneth Ryan is licensed to practice in Delaware (license number LG-0000752) 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 1669447637.

Contact Information

	Mr Mark Kenneth Ryan, CRNP MSN
	30549 Sussex Hwy, Laurel, DE 19956-3891
	(302) 715-5214
	(302) 628-6855

Map and Direction

Provider's Profile

Full Name	Mr Mark Kenneth Ryan
Gender	Male
Speciality	Nurse Practitioner
Experience	22 Years
Location	30549 Sussex Hwy, Laurel, Delaware
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:

Mr Mark Kenneth Ryan graduated from nursing school in 2002

NPI Data:

NPI Number: 1669447637
Provider Enumeration Date: 02/22/2006
Last Update Date: 02/29/2016

Medicare PECOS Information:

PECOS PAC ID: 8527050582
Enrollment ID: I20140909001041

Medical Identifiers

Medical identifiers for Mr Mark Kenneth Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669447637	NPI	-	NPPES
403638700	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AC000091 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	AC000091 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	LG-0000752 (Delaware)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Nanticoke Memorial Hospital	Seaford, DE	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tidalhealth Physician Network, Inc.	7315901253	73

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 Mark Kenneth Ryan allows following entities to bill medicare on his behalf.

Entity Name	Tidalhealth Physician Network, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467534636 PECOS PAC ID: 7315901253 Enrollment ID: O20041119000090

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 Mark Kenneth 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
Mr Mark Kenneth Ryan, CRNP MSN 30549 Sussex Hwy, Laurel, DE 19956-3891 Ph: (302) 715-5214	Mr Mark Kenneth Ryan, CRNP MSN 30549 Sussex Hwy, Laurel, DE 19956-3891 Ph: (302) 715-5214

Reviews and Comments

Nurse Practitioner Nurses in Laurel, DE

Pamela Morris Fleckenstein, MSN, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30668 Sussex Hwy, Laurel, DE 19956 Phone: 302-875-6550 Fax: 302-875-3130
Janice James-webb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28440 Carroll Taylor Dr, Laurel, DE 19956 Phone: 410-215-8201
Mrs. Donna Gail Hitchens, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30549 Sussex Hwy, Laurel, DE 19956 Phone: 302-875-2127
Kristi Rebecca Nichols, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30549 Sussex Hwy, Laurel, DE 19956 Phone: 302-715-5214

Mr Mark Kenneth Ryan, CRNP MSN - Medicare Nurse Practitioner in Laurel, DE