Dr Tara Lynn Ryan-dedominicis, in Bridgeport, CT - Medicare Clinical Social Worker Provider

Dr Tara Lynn Ryan-dedominicis, is a medicare enrolled "Social Worker - Clinical" provider in Bridgeport, Connecticut. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Optimus Health Care Inc and her current practice location is 982 E Main St, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 696-3260.

Dr Tara Lynn Ryan-dedominicis is licensed to practice in Connecticut (license number 011683) 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 1164192001.

Contact Information

	Dr Tara Lynn Ryan-dedominicis,
	982 E Main St, Bridgeport, CT 06608-1913
	(203) 696-3260
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tara Lynn Ryan-dedominicis
Gender	Female
Speciality	Clinical Social Worker
Experience	4 Years
Location	982 E Main St, Bridgeport, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tara Lynn Ryan-dedominicis graduated from medical school in 2021

NPI Data:

NPI Number: 1164192001
Provider Enumeration Date: 09/13/2021
Last Update Date: 09/13/2021

Medicare PECOS Information:

PECOS PAC ID: 4880092501
Enrollment ID: I20211011002994

Medical Identifiers

Medical identifiers for Dr Tara Lynn Ryan-dedominicis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164192001	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	011683 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optimus Health Care Inc	9335051580	64

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 Tara Lynn Ryan-dedominicis allows following entities to bill medicare on her behalf.

Entity Name	Optimus Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669445946 PECOS PAC ID: 9335051580 Enrollment ID: O20031105000254

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 Tara Lynn Ryan-dedominicis 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
Dr Tara Lynn Ryan-dedominicis, 982 E Main St, Bridgeport, CT 06608-1913 Ph: (203) 696-3260	Dr Tara Lynn Ryan-dedominicis, 982 E Main St, Bridgeport, CT 06608-1913 Ph: (203) 696-3260

Reviews and Comments

Social Worker in Bridgeport, CT

Ms. Christen A Richard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Central Avenue, Southwest Ct Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481
Kimberly Anne Foster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave, Bridgeport, CT 06604 Phone: 201-317-2065
Jason Ruggiero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave Fl 2, Bridgeport, CT 06604 Phone: 203-394-6529
Kaila Prakuson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Lafayette Blvd Ste 1100, Bridgeport, CT 06604 Phone: 646-941-7645
Mrs. Gabriele Stefanie Paul, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Central Ave, Southwest Ct Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660
Paula Dodge, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Bennett St, Bridgeport, CT 06605 Phone: 203-690-5150
Shalishea Laws, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Lafayette Cir, Bridgeport, CT 06604 Phone: 203-258-1557

Dr Tara Lynn Ryan-dedominicis, - Medicare Clinical Social Worker in Bridgeport, CT