Mr Ryan Colby Despain, DPT in Bountiful, UT - Medicare Physical Therapist Provider

Mr Ryan Colby Despain, DPT is a medicare enrolled "Physical Therapist" provider in Bountiful, Utah. His current practice location is 1551 Renaissance Towne Dr Ste 350, Bountiful, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 295-3553.

Mr Ryan Colby Despain is licensed to practice in Utah (license number 13392204-2401) 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 1386338523.

Contact Information

	Mr Ryan Colby Despain, DPT
	1551 Renaissance Towne Dr Ste 350, Bountiful, UT 84010-7674
	(801) 295-3553
	(801) 295-3599

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Ryan Colby Despain
Gender	Male
Speciality	Physical Therapist
Location	1551 Renaissance Towne Dr Ste 350, Bountiful, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386338523
Provider Enumeration Date: 06/08/2023
Last Update Date: 06/26/2023

Medicare PECOS Information:

PECOS PAC ID: 9436519709
Enrollment ID: I20230718002768

Medical Identifiers

Medical identifiers for Mr Ryan Colby Despain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386338523	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13392204-2401 (Utah)	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. Mr Ryan Colby Despain allows following entities to bill medicare on his behalf.

Provider Name	Performance West Physical Therapy
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720148240 PECOS PAC ID: 4789649047 Enrollment ID: O20041129000296

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 Ryan Colby Despain 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 Ryan Colby Despain, DPT 1551 Renaissance Towne Dr Ste 350, Bountiful, UT 84010-7674 Ph: (801) 295-3553	Mr Ryan Colby Despain, DPT 1551 Renaissance Towne Dr Ste 350, Bountiful, UT 84010-7674 Ph: (801) 295-3553

Reviews and Comments

Physical Therapist in Bountiful, UT

Jaren Weber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 74 E 500 S Ste 104, Bountiful, UT 84010 Phone: 801-292-5011
Mr. Robert Allen Hawkes, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1551 S Renaissance Twn Dr, Suite 420 Sportsmed Physical Therapy, Bountiful, UT 84010 Phone: 801-295-8999 Fax: 801-292-4168
Jessica Elizabeth Sherman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 N Main St, Bountiful, UT 84010 Phone: 801-397-8700
Michael Carl Warren, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 74 E 500 S Ste 104, Bountiful, UT 84010 Phone: 801-292-5011 Fax: 801-292-8222
Jessie Balicki, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 523 N Main St, Bountiful, UT 84010 Phone: 801-951-2273
Mr. Robert J Larsen, MPT ATG Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1551 S Renaissance Twn Dr, Suite 420, Bountiful, UT 84010 Phone: 801-295-8999 Fax: 801-292-4168
Mrs. Stephanie Jackson, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1551 Renaissance Towne Dr Ste 350, Bountiful, UT 84010 Phone: 801-295-3553 Fax: 801-295-3599

Mr Ryan Colby Despain, DPT - Medicare Physical Therapist in Bountiful, UT