Ryan Matthew Derby, DPT in Tonawanda, NY - Medicare Physical Therapist Provider

Ryan Matthew Derby, DPT is a medicare enrolled "Physical Therapist" provider in Tonawanda, New York. His current practice location is 2540 Sheridan Dr, Tonawanda, New York. You can reach out to his office (for appointments etc.) via phone at (716) 862-0567.

Ryan Matthew Derby is licensed to practice in New York (license number 046502) 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 1821602178.

Contact Information

	Ryan Matthew Derby, DPT
	2540 Sheridan Dr, Tonawanda, NY 14150-9410
	(716) 862-0567
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ryan Matthew Derby
Gender	Male
Speciality	Physical Therapist
Location	2540 Sheridan Dr, Tonawanda, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821602178
Provider Enumeration Date: 09/03/2020
Last Update Date: 12/12/2024

Medicare PECOS Information:

PECOS PAC ID: 9032520861
Enrollment ID: I20201130000342

Medical Identifiers

Medical identifiers for Ryan Matthew Derby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821602178	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1333741 (Texas)	Secondary
225100000X	Physical Therapist	P20003 (North Carolina)	Secondary
225100000X	Physical Therapist	046502 (New York)	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 Matthew Derby allows following entities to bill medicare on his behalf.

Provider Name	Fayetteville Orthopaedic Clinic Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417919390 PECOS PAC ID: 1355378167 Enrollment ID: O20050725000100

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 Matthew Derby 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 Matthew Derby, DPT 703 Granite St Ste 3, Braintree, MA 02184-5350 Ph: (781) 961-3370	Ryan Matthew Derby, DPT 2540 Sheridan Dr, Tonawanda, NY 14150-9410 Ph: (716) 862-0567

Reviews and Comments

Physical Therapist in Tonawanda, NY

Steven Gonser, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 Greenhaven Ter, Tonawanda, NY 14150 Phone: 716-213-0772 Fax: 716-213-0773
Ms. Lisa Vargovich Martin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2540 Sheridan Dr, Tonawanda, NY 14150 Phone: 716-862-0567 Fax: 716-862-0571
Jodi Ridler, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 Greenhaven Ter, Tonawanda, NY 14150 Phone: 716-213-0772 Fax: 716-213-0773
Allyson Raines, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2540 Sheridan Dr, Tonawanda, NY 14150 Phone: 716-862-0567 Fax: 716-862-0571
Dr. Michelle Alida Nitsche, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 69 Harriet St, Tonawanda, NY 14150 Phone: 716-517-5564
Mr. Frederick Lacaste Tabliago, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 259 Grimsby Rd, Tonawanda, NY 14223 Phone: 716-541-9102
Thomas Maving, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2540 Sheridan Dr, Tonawanda, NY 14150 Phone: 716-862-0567 Fax: 716-862-0571

Ryan Matthew Derby, DPT - Medicare Physical Therapist in Tonawanda, NY