Ryan Basak, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Hemet, California. His current practice location is
1117 E Devonshire Ave, Hemet, California. You can reach out to his office (for appointments etc.) via phone at
(951) 552-2811.
Ryan Basak is licensed to practice in * (Not Available) (license number ) 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 1750867784.
Physician's Profile
| Full Name | Ryan Basak |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1117 E Devonshire Ave, Hemet, California |
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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: 1750867784
- Provider Enumeration Date: 07/12/2018
- Last Update Date: 04/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759787724
- Enrollment ID: I20210831002434
Medical Identifiers
Medical identifiers for Ryan Basak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750867784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | A174399 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Ryan Basak allows following entities to bill medicare on his behalf.
| Entity Name | Providence Healthcare Partners Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699157701 PECOS PAC ID: 2163723610 Enrollment ID: O20151229000900 |
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| Entity Name | Seven Star Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710580808 PECOS PAC ID: 4789091026 Enrollment ID: O20210401001919 |
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| Entity Name | Seven Star Hospital Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043813140 PECOS PAC ID: 4789083338 Enrollment ID: O20210601002852 |
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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. Ryan Basak 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 Basak, 2952 Van Buren Blvd Apt 22, Riverside, CA 92503-9310 Ph: (908) 500-2120 | Ryan Basak, 1117 E Devonshire Ave, Hemet, CA 92543-3083 Ph: (951) 552-2811 |
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