Ryan Butler, is a medicare enrolled "Social Worker - Clinical" provider in Crescent City, California. He graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Coquille Indian Tribe and his current practice location is
1675 Northcrest Dr, Crescent City, California. You can reach out to his office (for appointments etc.) via phone at
(707) 464-2750.
Ryan Butler is licensed to practice in Utah (license number 5868004-3501) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356755581.
Healthcare Provider's Profile
| Full Name | Ryan Butler |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 6 Years |
|---|
| Location | 1675 Northcrest Dr, Crescent City, California |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Ryan Butler graduated from medical school in 2020
NPI Data:
- NPI Number: 1356755581
- Provider Enumeration Date: 06/16/2014
- Last Update Date: 04/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 6608245501
- Enrollment ID: I20260325003085
Medical Identifiers
Medical identifiers for Ryan Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356755581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5868004-3501 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Coquille Indian Tribe | 6002805330 | 21 |
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 Butler allows following entities to bill medicare on his behalf.
| Entity Name | Coquille Indian Tribe |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1376592287
PECOS PAC ID: 6002805330
Enrollment ID: O20040511000663 |
|---|
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 Butler 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 Butler,
1600 Weeot Way,
Arcata, CA 95521-4734
Ph: (707) 825-5000 | Ryan Butler,
1675 Northcrest Dr,
Crescent City, CA 95531-8928
Ph: (707) 464-2750 |
Reviews and Comments