Ryan Edward Elassal, PT is a medicare enrolled "Durable Medical Equipment & Medical Supplies" provider in Oklahoma City, Oklahoma. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Boomer 06 Pllc and his current practice location is
7919 Mid America Blvd Ste 100, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 736-0064.
Ryan Edward Elassal is licensed to practice in Oklahoma (license number 1-E-8553) 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 1417587676.
Healthcare Provider's Profile
| Full Name | Ryan Edward Elassal |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 7 Years |
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| Location | 7919 Mid America Blvd Ste 100, Oklahoma City, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ryan Edward Elassal graduated from medical school in 2017
NPI Data:
- NPI Number: 1417587676
- Provider Enumeration Date: 01/16/2020
- Last Update Date: 09/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224469176
- Enrollment ID: I20200511001258
Medical Identifiers
Medical identifiers for Ryan Edward Elassal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417587676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 5329 (Oklahoma) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1-E-8553 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Boomer 06 Pllc | 3870924723 | 4 |
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 Edward Elassal allows following entities to bill medicare on his behalf.
| Provider Name | Boomer 06 Pllc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1871126383
PECOS PAC ID: 3870924723
Enrollment ID: O20200511000968 |
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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 Edward Elassal 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 |
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Ryan Edward Elassal, PT
16905 Halbrooke Cir,
Edmond, OK 73012-6864
Ph: (405) 996-0660 | Ryan Edward Elassal, PT
7919 Mid America Blvd Ste 100,
Oklahoma City, OK 73135-6611
Ph: (405) 736-0064 |
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