Ryan Sershon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Germantown, Wisconsin. He graduated from healthcare school in 2013 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Cornerstone Counseling Services Inc and his current practice location is
W175n11081 Stonewood Dr Ste 212, Germantown, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 244-6177.
Ryan Sershon is licensed to practice in Wisconsin (license number 8525) 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 1407397938.
Healthcare Provider's Profile
| Full Name | Ryan Sershon |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 12 Years |
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| Location | W175n11081 Stonewood Dr Ste 212, Germantown, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ryan Sershon graduated from medical school in 2013
NPI Data:
- NPI Number: 1407397938
- Provider Enumeration Date: 03/16/2017
- Last Update Date: 08/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 6103193701
- Enrollment ID: I20170602001299
Medical Identifiers
Medical identifiers for Ryan Sershon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407397938 | NPI | - | NPPES |
| 8525-123 | Other | WI | LCSW |
| 1000677057 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15925 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8525 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cornerstone Counseling Services Inc | 1456256023 | 224 |
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 Sershon allows following entities to bill medicare on his behalf.
| Entity Name | Cornerstone Counseling Services Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033127246
PECOS PAC ID: 1456256023
Enrollment ID: O20031205000446 |
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| Entity Name | Waukesha Health System, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346353695
PECOS PAC ID: 4082519517
Enrollment ID: O20040422001085 |
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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. Ryan Sershon 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 |
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Ryan Sershon, LCSW
1035 W Glen Oaks Ln Ste 110,
Mequon, WI 53092-3392
Ph: (262) 244-6178 | Ryan Sershon, LCSW
W175n11081 Stonewood Dr Ste 212,
Germantown, WI 53022-4771
Ph: (262) 244-6177 |
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