Ryan Smith, PT, DPT is a medicare enrolled "Physical Therapist" provider in South Bend, Washington. His current practice location is
1010 Robert Bush Drive West, South Bend, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 875-5543.
Ryan Smith is licensed to practice in South Carolina (license number 12213) 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 1063274801.
Healthcare Provider's Profile
Full Name | Ryan Smith |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 1010 Robert Bush Drive West, South Bend, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063274801
- Provider Enumeration Date: 01/26/2024
- Last Update Date: 02/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830534205
- Enrollment ID: I20240226003132
Medical Identifiers
Medical identifiers for Ryan Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063274801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 12213 (South Carolina) | 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 Smith allows following entities to bill medicare on his behalf.
Provider Name | Rehabvisions Therapy Wa, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1265823694 PECOS PAC ID: 2961721378 Enrollment ID: O20150507000095 |
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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 Smith 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 Smith, PT, DPT 137 Blue Church Ct, Columbia, SC 29212-8800 Ph: () - | Ryan Smith, PT, DPT 1010 Robert Bush Drive West, South Bend, WA 98586 Ph: (360) 875-5543 |
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