Ryan Bachofer, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Missoula, Montana. His current practice location is
500 W Broadway St Fl 4bb, Missoula, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 329-5828.
Ryan Bachofer is licensed to practice in Montana (license number MED-PHYS-LIC-158314) 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 1700444197.
Physician's Profile
| Full Name | Ryan Bachofer |
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| Gender | Male |
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| Speciality | Colon & Rectal Surgery |
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| Location | 500 W Broadway St Fl 4bb, Missoula, Montana |
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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: 1700444197
- Provider Enumeration Date: 05/31/2019
- Last Update Date: 12/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628303237
- Enrollment ID: I20190717004136
Medical Identifiers
Medical identifiers for Ryan Bachofer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700444197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | MED-PHYS-LIC-158314 (Montana) | Secondary |
| 208C00000X | Colon & Rectal Surgery | MED-PHYS-LIC-158314 (Montana) | Primary |
| 208C00000X | Colon & Rectal Surgery | 13849360-1205 (Utah) | Secondary |
| 208600000X | Surgery | 13849360-1205 (Utah) | 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. Ryan Bachofer 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 |
Ryan Bachofer, MD Po Box 31001, Pasadena, CA 91110-4110 Ph: (406) 329-5828 | Ryan Bachofer, MD 500 W Broadway St Fl 4bb, Missoula, MT 59802-4008 Ph: (406) 329-5828 |
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