Dr Lisa Ryan, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Terra Alta, West Virginia. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Specialty Physicians Of Garrett County, Llc and her current practice location is
31452 Veterans Memorial Hwy, Terra Alta, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 789-1029.
Dr Lisa Ryan is licensed to practice in West Virginia (license number 1092) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477911428.
Healthcare Provider's Profile
| Full Name | Dr Lisa Ryan |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 13 Years |
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| Location | 31452 Veterans Memorial Hwy, Terra Alta, West Virginia |
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| Accepts Medicare Assignments | Yes. She 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:
- Dr Lisa Ryan graduated from medical school in 2011
NPI Data:
- NPI Number: 1477911428
- Provider Enumeration Date: 02/05/2016
- Last Update Date: 02/01/2017
Medicare PECOS Information:
- PECOS PAC ID: 9436458304
- Enrollment ID: I20160917000357
Medical Identifiers
Medical identifiers for Dr Lisa Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477911428 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 1092 (West Virginia) | Primary |
| 103T00000X | Psychologist | 05746 (Maryland) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Specialty Physicians Of Garrett County, Llc | 5698082436 | 62 |
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. Dr Lisa Ryan allows following entities to bill medicare on her behalf.
| Entity Name | Wellspring Family Medicine Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194744359
PECOS PAC ID: 7012986763
Enrollment ID: O20040929000439 |
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| Entity Name | Specialty Physicians Of Garrett County, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265819866
PECOS PAC ID: 5698082436
Enrollment ID: O20150911000591 |
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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. Dr Lisa 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 |
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Dr Lisa Ryan, PSYD
247 Cathedral Park Dr,
Aurora, WV 26705-8217
Ph: (304) 698-4567 | Dr Lisa Ryan, PSYD
31452 Veterans Memorial Hwy,
Terra Alta, WV 26764-9715
Ph: (304) 789-1029 |
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