Lisa Ryan, is a medicare enrolled "Pediatrics" physician in Bridgton, Maine. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1991 and has 35 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Mercy Hospital and her current practice location is
25 Hospital Dr, Bridgton, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 647-4232.
Lisa Ryan is licensed to practice in Maine (license number 1559) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285605550.
Physician's Profile
| Full Name | Lisa Ryan |
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| Gender | Female |
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| Speciality | Pediatric Medicine |
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| Experience | 35 Years |
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| Location | 25 Hospital Dr, Bridgton, Maine |
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| Accepts Medicare Assignments | Yes. She 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:
- Lisa Ryan attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1991
NPI Data:
- NPI Number: 1285605550
- Provider Enumeration Date: 01/27/2006
- Last Update Date: 03/09/2011
Medicare PECOS Information:
- PECOS PAC ID: 3375596901
- Enrollment ID: I20050223000822
Medical Identifiers
Medical identifiers for Lisa Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285605550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 1559 (Maine) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mercy Hospital | 6103737812 | 300 |
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. Lisa Ryan allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629078712
PECOS PAC ID: 6103737812
Enrollment ID: O20040217000943 |
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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. Lisa Ryan 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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Lisa Ryan,
25 Hospital Dr,
Bridgton, ME 04009-1156
Ph: (207) 647-4232 | Lisa Ryan,
25 Hospital Dr,
Bridgton, ME 04009-1156
Ph: (207) 647-4232 |
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