Ryan Todd Degerstrom, PT is a medicare enrolled "Physical Therapist" provider in Hinckley, Minnesota. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Red Cliff Band Of Lake Superior Chippewa Indians and his current practice location is
620 Fire Monument Rd, Hinckley, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 384-6189.
Ryan Todd Degerstrom is licensed to practice in Minnesota (license number 1675) 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 1093769333.
Healthcare Provider's Profile
| Full Name | Ryan Todd Degerstrom |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 11 Years |
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| Location | 620 Fire Monument Rd, Hinckley, Minnesota |
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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 Todd Degerstrom graduated from medical school in 2013
NPI Data:
- NPI Number: 1093769333
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6800795030
- Enrollment ID: I20150826000074
Medical Identifiers
Medical identifiers for Ryan Todd Degerstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093769333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 1675 (Minnesota) | Primary |
| 225100000X | Physical Therapist | 6908 (Minnesota) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Red Cliff Band Of Lake Superior Chippewa Indians | 4284537580 | 11 |
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 Todd Degerstrom allows following entities to bill medicare on his behalf.
| Provider Name | Red Cliff Band Of Lake Superior Chippewa Indians |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497744015
PECOS PAC ID: 4284537580
Enrollment ID: O20040202000406 |
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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 Todd Degerstrom 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 Todd Degerstrom, PT
2925 Chicago Ave,
Minneapolis, MN 55407-1321
Ph: (612) 262-4813 | Ryan Todd Degerstrom, PT
620 Fire Monument Rd,
Hinckley, MN 55037-8304
Ph: (320) 384-6189 |
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