Mr Timothy Ryan Rysavy, PSYD, LP in St. Cloud, MN - Medicare Clinical Psychologist Provider

Mr Timothy Ryan Rysavy, PSYD, LP is a medicare enrolled "Psychologist" provider in St. Cloud, Minnesota. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice St Cloud Neurobehavioral Associated and his current practice location is 251 County Road 120, St. Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 258-3833.

Mr Timothy Ryan Rysavy is licensed to practice in Minnesota (license number LP6105) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1073052163.

Contact Information

	Mr Timothy Ryan Rysavy, PSYD, LP
	251 County Road 120, St. Cloud, MN 56303-4872
	(320) 258-3833
	(320) 253-5741

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Timothy Ryan Rysavy
Gender	Male
Speciality	Clinical Psychologist
Experience	9 Years
Location	251 County Road 120, St. Cloud, Minnesota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Timothy Ryan Rysavy graduated from medical school in 2015

NPI Data:

NPI Number: 1073052163
Provider Enumeration Date: 02/22/2017
Last Update Date: 02/22/2017

Medicare PECOS Information:

PECOS PAC ID: 4385920396
Enrollment ID: I20170405001690

Medical Identifiers

Medical identifiers for Mr Timothy Ryan Rysavy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073052163	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP6105 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Cloud Neurobehavioral Associated	7113829862	3

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. Mr Timothy Ryan Rysavy allows following entities to bill medicare on his behalf.

Entity Name	St Cloud Neurobehavioral Associated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871555441 PECOS PAC ID: 7113829862 Enrollment ID: O20040122001097

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. Mr Timothy Ryan Rysavy 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
Mr Timothy Ryan Rysavy, PSYD, LP P.o. Box 230, Sartell, MN 56377-0230 Ph: (320) 258-3833	Mr Timothy Ryan Rysavy, PSYD, LP 251 County Road 120, St. Cloud, MN 56303-4872 Ph: (320) 258-3833

Reviews and Comments

Psychologist in St. Cloud, MN

Dr. Jayne Lokken, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Va Medical Center, St. Cloud, MN 56303 Phone: 320-252-1670
Angela Rose Ackerman, LPCC Psychologist Medicare: Medicare Enrolled Practice Location: 3400 1st Street N, Suite 101, St. Cloud, MN 56303 Phone: 612-268-5858
Jessica Rose Vander Weyst, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303 Phone: 320-251-2700
Ryan Michael Engdahl, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-229-5109
Ms. Jennifer Kay Rocheleau Dorholt, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-229-5109
Dr. Emily Anne Schmidtman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Drive, St. Cloud, MN 56329 Phone: 320-252-1670

Mr Timothy Ryan Rysavy, PSYD, LP - Medicare Psychologist in St. Cloud, MN