Ryan Owen Bundren, LADAC II in Lawrenceburg, TN

Ryan Owen Bundren, LADAC II is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Lawrenceburg, Tennessee. His current practice location is 225 Centennial Blvd, Lawrenceburg, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 231-8915.

Ryan Owen Bundren is licensed to practice in Tennessee (license number 1408) 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 1679168397.

Contact Information

	Ryan Owen Bundren, LADAC II
	225 Centennial Blvd, Lawrenceburg, TN 38464-3264
	(931) 231-8915
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ryan Owen Bundren
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	225 Centennial Blvd, Lawrenceburg, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679168397
Provider Enumeration Date: 03/04/2021
Last Update Date: 03/04/2021

Medicare PECOS Information:

PECOS PAC ID: 2567999840
Enrollment ID: I20241227000676

Medical Identifiers

Medical identifiers for Ryan Owen Bundren such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679168397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	1408 (Tennessee)	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 Owen Bundren allows following entities to bill medicare on his behalf.

Entity Name	Spero Health Of Tennessee, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538628904 PECOS PAC ID: 0941683593 Enrollment ID: O20220816000418

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 Owen Bundren 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 Owen Bundren, LADAC II 225 Centennial Blvd, Lawrenceburg, TN 38464-3264 Ph: (931) 231-8915	Ryan Owen Bundren, LADAC II 225 Centennial Blvd, Lawrenceburg, TN 38464-3264 Ph: (931) 231-8915

Reviews and Comments

Counselor in Lawrenceburg, TN

Misty Lee Gallimore, LMSW Counselor Medicare: Medicare Enrolled Practice Location: 1090 Old Florence Rd, Lawrenceburg, TN 38464 Phone: 931-762-6505
Ms. Melanie Linda Davis, ED.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 Old Florence Rd, Lawrenceburg, TN 38464 Phone: 615-308-3846
Ms. Victoria T. Gattis, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Hillview Dr, Lawrenceburg, TN 38464 Phone: 931-766-8549 Fax: 931-766-8549
Lana Leigh Brown, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 Old Florence Rd, Lawrenceburg, TN 38464 Phone: 931-762-6505
Brian Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 Old Florence Road, Lawrenceburg, TN 38464 Phone: 256-856-2739
Amy R Farmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Cherry Ave, Lawrenceburg, TN 38464 Phone: 931-242-7483
Mr. Gary Van Bentley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 Old Florence Rd, Lawrenceburg, TN 38464 Phone: 931-762-6505 Fax: 931-762-3690

Ryan Owen Bundren, LADAC II - Medicare Counselor in Lawrenceburg, TN