Ryan Owen Bundren, LADAC II in Waynesboro, TN

Ryan Owen Bundren, LADAC II is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Waynesboro, Tennessee. His current practice location is 703 Hurricane Creek Rd, Waynesboro, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 279-6378.

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
	703 Hurricane Creek Rd, Waynesboro, TN 38485-2226
	(931) 279-6378
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ryan Owen Bundren
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	703 Hurricane Creek Rd, Waynesboro, 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: 06/13/2025

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 703 Hurricane Creek Rd, Waynesboro, TN 38485-2226 Ph: (931) 279-6378	Ryan Owen Bundren, LADAC II 703 Hurricane Creek Rd, Waynesboro, TN 38485-2226 Ph: (931) 279-6378

Reviews and Comments

Counselor in Waynesboro, TN

Bruce Walker, Counselor Medicare: Medicare Enrolled Practice Location: 950 Andrew Jackson Drive, Waynesboro, TN 38485 Phone: 931-253-2140
Barbara Jordahl, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 Andrew Jackson Drive, Waynesboro, TN 38485 Phone: 931-722-6366
Miss Nelda Prater, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 942 Andrew Jackson Dr., Waynesboro, TN 38485 Phone: 931-253-2144
Rachel Walton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 Andrew Jackson Drive, Waynesboro, TN 38485 Phone: 931-253-2140
Khearra Mosley, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 523 S Main St, Waynesboro, TN 38485 Phone: 931-332-1956
Ted R Graves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 942 Andrew Jackson Dr, Waynesboro, TN 38485 Phone: 931-722-3272

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