Ryan Mathis, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Hudson, New Hampshire. His current practice location is
35 Robin Dr, Hudson, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 557-1589.
Ryan Mathis is licensed to practice in New Hampshire (license number 5055) 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 1033768486.
Healthcare Provider's Profile
Full Name | Ryan Mathis |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 35 Robin Dr, Hudson, New Hampshire |
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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: 1033768486
- Provider Enumeration Date: 09/09/2019
- Last Update Date: 04/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 3274058177
- Enrollment ID: I20250423000718
Medical Identifiers
Medical identifiers for Ryan Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033768486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SWB-2024-1140 (New Mexico) | Secondary |
1041C0700X | Social Worker - Clinical | 1120778 (Massachusetts) | Secondary |
1041C0700X | Social Worker - Clinical | 5055 (New Hampshire) | 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 Mathis allows following entities to bill medicare on his behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221007001608 |
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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 Mathis 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 Mathis, LICSW 35 Robin Dr, Hudson, NH 03051-3357 Ph: (603) 557-1589 | Ryan Mathis, LICSW 35 Robin Dr, Hudson, NH 03051-3357 Ph: (603) 557-1589 |
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