Dr Ryan Young Jin, MD, PHD is a medicare enrolled "Radiology - Radiation Oncology" physician in Adrian, Michigan. He went to Wayne State University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Promedica Central Physicians, Promedica Central Physicians and his current practice location is
717 Kimole Lane, # 130, Adrian, Michigan. You can reach out to his office (for appointments etc.) via phone at
(517) 265-0292.
Dr Ryan Young Jin is licensed to practice in Michigan (license number 4301081853) 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 1568671113.
Physician's Profile
| Full Name | Dr Ryan Young Jin |
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| Gender | Male |
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| Speciality | Radiation Oncology |
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| Experience | 21 Years |
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| Location | 717 Kimole Lane, Adrian, Michigan |
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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:
- Dr Ryan Young Jin attended and graduated from Wayne State University School Of Medicine in 2003
NPI Data:
- NPI Number: 1568671113
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 11/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002989282
- Enrollment ID: I20080722000011
Medical Identifiers
Medical identifiers for Dr Ryan Young Jin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568671113 | NPI | - | NPPES |
| 2849681 | Medicaid | OH | |
| P00727166 | Other | OH | RR MEDICARE |
| P00972313 | Other | MI | RR MEDICARE |
| 158671113 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0001X | Radiology - Radiation Oncology | 35-091603 (Ohio) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 4301081853 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Promedica Central Physicians | 2365348190 | 818 |
| Promedica Central Physicians | 2365348190 | 818 |
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 Young Jin allows following entities to bill medicare on his behalf.
| Entity Name | Promedica Central Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043270150
PECOS PAC ID: 2365348190
Enrollment ID: O20031211000226 |
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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 Young Jin 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 Young Jin, MD, PHD
1 Seagate # 800,
Toledo, OH 43604-1558
Ph: (517) 265-0292 | Dr Ryan Young Jin, MD, PHD
717 Kimole Lane, # 130,
Adrian, MI 49221
Ph: (517) 265-0292 |
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