Dr Ryan Robert Pine, MD is a medicare enrolled "Ophthalmology" physician in Mattoon, Illinois. He went to Kansas City University Of Physicians And Surgeons and graduated in 2012 and has 13 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Sarah Bush Lincoln Health Center and his current practice location is
200 Dettro Dr, Mattoon, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 348-0221.
Dr Ryan Robert Pine is licensed to practice in Illinois (license number 036-131048) 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 1255599452.
Physician's Profile
| Full Name | Dr Ryan Robert Pine |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 13 Years |
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| Location | 200 Dettro Dr, Mattoon, Illinois |
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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. |
Medical Education and Training:
- Dr Ryan Robert Pine attended and graduated from Kansas City University Of Physicians And Surgeons in 2012
NPI Data:
- NPI Number: 1255599452
- Provider Enumeration Date: 05/26/2008
- Last Update Date: 12/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133371453
- Enrollment ID: I20121213000450
Medical Identifiers
Medical identifiers for Dr Ryan Robert Pine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255599452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207W00000X | Ophthalmology | 036-131048 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Sarah Bush Lincoln Health Center | 5092614867 | 359 |
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. Dr Ryan Robert Pine allows following entities to bill medicare on his behalf.
| Entity Name | Sarah Bush Lincoln Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
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| Entity Name | Ryan R Pine Md Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700139110 PECOS PAC ID: 3678725090 Enrollment ID: O20121212000063 |
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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. Dr Ryan Robert Pine 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 Robert Pine, MD Po Box 372, Mattoon, IL 61938-0372 Ph: () - | Dr Ryan Robert Pine, MD 200 Dettro Dr, Mattoon, IL 61938-9003 Ph: (217) 348-0221 |
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