Nannette Ryan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Brockport, New York. Her current practice location is
310 Chadlee Dr, Brockport, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 797-9694.
Nannette Ryan is licensed to practice in New York (license number 088493) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093368474.
Healthcare Provider's Profile
| Full Name | Nannette Ryan |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 310 Chadlee Dr, Brockport, 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. |
NPI Data:
- NPI Number: 1093368474
- Provider Enumeration Date: 07/24/2019
- Last Update Date: 11/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103154588
- Enrollment ID: I20220404002742
Medical Identifiers
Medical identifiers for Nannette Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093368474 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 088493 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | 088493 (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. Nannette Ryan allows following entities to bill medicare on her behalf.
| Entity Name | Penfield Psychiatry PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649544115 PECOS PAC ID: 2365693264 Enrollment ID: O20121126000531 |
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| 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: O20221117000517 |
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| Entity Name | Mental Health Specialty Group PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240621000315 |
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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. Nannette Ryan 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 |
Nannette Ryan, LCSW 310 Chadlee Dr, Brockport, NY 14420-9349 Ph: (585) 797-9694 | Nannette Ryan, LCSW 310 Chadlee Dr, Brockport, NY 14420-9349 Ph: (585) 797-9694 |
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