Dr Ryan W Peterson, PSYD is a medicare enrolled "Psychologist" provider in Bath, New York. His current practice location is
115 Liberty St, Bath, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 776-6577.
Dr Ryan W Peterson is licensed to practice in New York (license number 019091-1) 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 1861688608.
Healthcare Provider's Profile
| Full Name | Dr Ryan W Peterson |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 115 Liberty St, Bath, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861688608
- Provider Enumeration Date: 09/14/2007
- Last Update Date: 07/24/2012
Medicare PECOS Information:
- PECOS PAC ID: 5193982601
- Enrollment ID: I20120210000034
Medical Identifiers
Medical identifiers for Dr Ryan W Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861688608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 019091-1 (New York) | 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. Dr Ryan W Peterson allows following entities to bill medicare on his behalf.
| Entity Name | County Of Steuben |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982709846
PECOS PAC ID: 3375522642
Enrollment ID: O20040719001474 |
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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. Dr Ryan W Peterson 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 Ryan W Peterson, PSYD
115 Liberty St,
Bath, NY 14810-1508
Ph: (607) 776-6577 | Dr Ryan W Peterson, PSYD
115 Liberty St,
Bath, NY 14810-1508
Ph: (607) 776-6577 |
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