Nicole M Ryan, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chestnut Hill, Massachusetts. Her current practice location is
140 Commonwealth Ave, Chestnut Hill, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 552-8000.
Nicole M Ryan is licensed to practice in Massachusetts (license number RN2324804) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467026450.
Provider's Profile
Full Name | Nicole M Ryan |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 140 Commonwealth Ave, Chestnut Hill, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467026450
- Provider Enumeration Date: 05/14/2021
- Last Update Date: 09/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587025705
- Enrollment ID: I20230803001277
Medical Identifiers
Medical identifiers for Nicole M Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467026450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN2324804 (Massachusetts) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN2324804 (Massachusetts) | 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. Nicole M Ryan allows following entities to bill medicare on her behalf.
Entity Name | Lahey Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
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Entity Name | Lahey Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
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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. Nicole M 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 |
Nicole M Ryan, 140 Commonwealth Ave, Chestnut Hill, MA 02467-3800 Ph: () - | Nicole M Ryan, 140 Commonwealth Ave, Chestnut Hill, MA 02467-3800 Ph: (617) 552-8000 |
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