Douglas Ryder, IMFT is a medicare enrolled "Marriage & Family Therapist" provider in North Olmsted, Ohio. His current practice location is
25111 Country Club Blvd Ste 290, North Olmsted, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 468-5000.
Douglas Ryder is licensed to practice in Ohio (license number F.2300310) 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 1891334579.
Healthcare Provider's Profile
Full Name | Douglas Ryder |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 25111 Country Club Blvd Ste 290, North Olmsted, Ohio |
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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: 1891334579
- Provider Enumeration Date: 12/30/2019
- Last Update Date: 01/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 9739619453
- Enrollment ID: I20250211002396
Medical Identifiers
Medical identifiers for Douglas Ryder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891334579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | M.2000154 (Ohio) | Secondary |
106H00000X | Marriage & Family Therapist | M1900155-TRNE (Ohio) | Secondary |
106H00000X | Marriage & Family Therapist | F.2300310 (Ohio) | 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. Douglas Ryder allows following entities to bill medicare on his behalf.
Entity Name | Psychological & Behavioral Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363 |
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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. Douglas Ryder 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 |
Douglas Ryder, IMFT 25111 Country Club Blvd Ste 290, North Olmsted, OH 44070-5330 Ph: (216) 468-5000 | Douglas Ryder, IMFT 25111 Country Club Blvd Ste 290, North Olmsted, OH 44070-5330 Ph: (216) 468-5000 |
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