Ryan Alan Nolder, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fairlawn, Ohio. His current practice location is
3557 Embassy Pkwy, Fairlawn, Ohio. You can reach out to his office (for appointments etc.) via phone at
(888) 556-7575.
Ryan Alan Nolder is licensed to practice in Ohio (license number 0021067) 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 1760242861.
Provider's Profile
Full Name | Ryan Alan Nolder |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 3557 Embassy Pkwy, Fairlawn, Ohio |
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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: 1760242861
- Provider Enumeration Date: 03/19/2024
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466992359
- Enrollment ID: I20240905004228
Medical Identifiers
Medical identifiers for Ryan Alan Nolder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760242861 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN.459525 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0021067 (Ohio) | 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. Ryan Alan Nolder allows following entities to bill medicare on his behalf.
Entity Name | Southwest Ohio Anesthesia Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
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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. Ryan Alan Nolder 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 |
Ryan Alan Nolder, RN 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001 | Ryan Alan Nolder, RN 3557 Embassy Pkwy, Fairlawn, OH 44333-8358 Ph: (888) 556-7575 |
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