Ryan Cordova, in Lake Havasu City, AZ - Medicare Speech-Language Pathologist Provider

Ryan Cordova, is a medicare enrolled "Speech-language Pathologist" provider in Lake Havasu City, Arizona. His current practice location is 5601 Highway 95 N Ste 308c5601, Lake Havasu City, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 854-5439.

Ryan Cordova is licensed to practice in California (license number RPE10068) 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 1750755120.

Contact Information

	Ryan Cordova,
	5601 Highway 95 N Ste 308c5601, Lake Havasu City, AZ 86404-8536
	(928) 854-5439
	(928) 854-5440

Map and Direction

Healthcare Provider's Profile

Full Name	Ryan Cordova
Gender	Male
Speciality	Speech-language Pathologist
Location	5601 Highway 95 N Ste 308c5601, Lake Havasu City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750755120
Provider Enumeration Date: 11/21/2015
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 4284928789
Enrollment ID: I20221114003046

Medical Identifiers

Medical identifiers for Ryan Cordova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750755120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	RPE10068 (California)	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 Cordova allows following entities to bill medicare on his behalf.

Provider Name	Slptele Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497393557 PECOS PAC ID: 5395163174 Enrollment ID: O20220302001043

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 Cordova 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 Cordova, 11360 183rd St, Cerritos, CA 90703-5419 Ph: () -	Ryan Cordova, 5601 Highway 95 N Ste 308c5601, Lake Havasu City, AZ 86404-8536 Ph: (928) 854-5439

Reviews and Comments

Speech-Language Pathologist in Lake Havasu City, AZ

Erin Riggert, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Havasupai Blvd, Lake Havasu City, AZ 86403 Phone: 928-505-6900
Terri Gulembo-plato, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Havasupai Blvd, Lake Havasu City, AZ 86403 Phone: 928-505-6938
Ms. Nicole B. Buth, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1515 N. Lake Havasu Ave, Ste #100, Lake Havasu City, AZ 86404 Phone: 928-854-5439 Fax: 928-854-5440
Enduren Ortiz Napuli, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Havasupai Blvd, Lake Havasu City, AZ 86403 Phone: 928-505-6900
Virginia M. Tate, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Havasupai Blvd, Lake Havasu City, AZ 86403 Phone: 928-505-6938
Mrs. Stephanie Hatch, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 641 Furgol Ln, Lake Havasu City, AZ 86406 Phone: 928-453-1192 Fax: 928-768-9253
Miss Brittany Prevallet, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3576 Kearsage Dr, Lake Havasu City, AZ 86406 Phone: 928-453-1500

Ryan Cordova, - Medicare Speech-Language Pathologist in Lake Havasu City, AZ