Marisa Ann Ryan, MD is a medicare enrolled "Otolaryngology" physician in Lehi, Utah. Her current practice location is
3000 N Triumph Blvd Ste 260, Lehi, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 768-3500.
Marisa Ann Ryan is licensed to practice in Utah (license number 12974559-1205) 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 1346567369.
Physician's Profile
| Full Name | Marisa Ann Ryan |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 3000 N Triumph Blvd Ste 260, Lehi, Utah |
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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:
- Marisa Ann Ryan attended and graduated from in
NPI Data:
- NPI Number: 1346567369
- Provider Enumeration Date: 04/29/2010
- Last Update Date: 03/05/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Marisa Ann Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346567369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 88123 (Georgia) | Secondary |
| 207Y00000X | Otolaryngology | 047679149 (Connecticut) | Secondary |
| 207Y00000X | Otolaryngology | D83114 (Maryland) | Secondary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 12974559-1205 (Utah) | Secondary |
| 207Y00000X | Otolaryngology | 12974559-1205 (Utah) | Primary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 88123 (Georgia) | Secondary |
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. Marisa Ann 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 |
|---|
Marisa Ann Ryan, MD
1055 N 300 W Ste 401,
Provo, UT 84604-3306
Ph: (801) 357-7499 | Marisa Ann Ryan, MD
3000 N Triumph Blvd Ste 260,
Lehi, UT 84043-4999
Ph: (801) 768-3500 |
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