Dr Ryan Fredric Bloomquist, MD,PHD,DMD,MBA,MPH is a medicare enrolled "Internal Medicine" provider in Augusta, Georgia. His current practice location is
1120 15th St, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 721-2371.
Dr Ryan Fredric Bloomquist is licensed to practice in Georgia (license number 17782) 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 1659893857.
Healthcare Provider's Profile
| Full Name | Dr Ryan Fredric Bloomquist |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 1120 15th St, Augusta, Georgia |
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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: 1659893857
- Provider Enumeration Date: 07/10/2017
- Last Update Date: 06/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294240271
- Enrollment ID: I20250717002112
Medical Identifiers
Medical identifiers for Dr Ryan Fredric Bloomquist such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659893857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | DN015571 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | 17782 (Georgia) | Primary |
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. Dr Ryan Fredric Bloomquist 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 |
Dr Ryan Fredric Bloomquist, MD,PHD,DMD,MBA,MPH 1120 15th St, Augusta, GA 30912-0001 Ph: (706) 721-2371 | Dr Ryan Fredric Bloomquist, MD,PHD,DMD,MBA,MPH 1120 15th St, Augusta, GA 30912-0001 Ph: (706) 721-2371 |
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