Timothy J Ryan, is a medicare enrolled "Podiatrist" provider in Medfield, Massachusetts. His current practice location is
6 W Mill St, Medfield, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 359-7229.
Timothy J Ryan is licensed to practice in Massachusetts (license number 1813) 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 1205826393.
Healthcare Provider's Profile
| Full Name | Timothy J Ryan |
|---|
| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 6 W Mill St, Medfield, Massachusetts |
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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: 1205826393
- Provider Enumeration Date: 10/28/2005
- Last Update Date: 11/09/2010
Medicare PECOS Information:
- PECOS PAC ID: 7810906195
- Enrollment ID: I20060413000659
Medical Identifiers
Medical identifiers for Timothy J Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205826393 | NPI | - | NPPES |
| S026486 | Other | MA | CHAMPUS |
| 001813 | Other | MA | TUFTS HEALTH PLAN |
| 0002379 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 0361771 | Medicaid | MA | |
| 2704474 | Other | MA | UNITED HEALTH CARE |
| 33218 | Other | MA | HARVARD PILGRIM HEALTH |
| RYY70835 | Other | MA | BLUE SHEILD OF MA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 1813 (Massachusetts) | Primary |
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. Timothy J Ryan 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 |
|---|
Timothy J Ryan,
Po Box 382,
Medfield, MA 02052-0382
Ph: (508) 359-7229 | Timothy J Ryan,
6 W Mill St,
Medfield, MA 02052-1507
Ph: (508) 359-7229 |
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