Ryan Kristopher Fox, is a medicare enrolled "Physical Therapist" provider in Greenfield, Tennessee. His current practice location is
405 N Front St, Greenfield, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 678-0221.
Ryan Kristopher Fox is licensed to practice in Tennessee (license number 15807) 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 1003647389.
Healthcare Provider's Profile
| Full Name | Ryan Kristopher Fox |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 405 N Front St, Greenfield, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003647389
- Provider Enumeration Date: 08/09/2024
- Last Update Date: 08/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355877879
- Enrollment ID: I20241207000220
Medical Identifiers
Medical identifiers for Ryan Kristopher Fox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003647389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 15807 (Tennessee) | 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 Kristopher Fox allows following entities to bill medicare on his behalf.
| Provider Name | Dynamix Physical Therapy Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1669619268
PECOS PAC ID: 5193873933
Enrollment ID: O20090504000677 |
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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 Kristopher Fox 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 Kristopher Fox,
Po Box 1004,
Milan, TN 38358-1004
Ph: () - | Ryan Kristopher Fox,
405 N Front St,
Greenfield, TN 38230-1531
Ph: (731) 678-0221 |
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