Ryan David Mantooth, MD in Fayetteville, AR - Medicare Emergency Medicine

Ryan David Mantooth, MD is a medicare enrolled "Emergency Medicine" physician in Fayetteville, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Washington Regional Medical System and his current practice location is 3215 N North Hills Blvd., Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 463-7102.

Ryan David Mantooth is licensed to practice in Arkansas (license number E-13154) 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 1114450822.

Contact Information

	Ryan David Mantooth, MD
	3215 N North Hills Blvd., Fayetteville, AR 72703
	(479) 463-7102
	(479) 463-5987

Map and Direction

Physician's Profile

Full Name	Ryan David Mantooth
Gender	Male
Speciality	Emergency Medicine
Experience	7 Years
Location	3215 N North Hills Blvd., Fayetteville, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ryan David Mantooth attended and graduated from University Of Arkansas College Of Medicine in 2017

NPI Data:

NPI Number: 1114450822
Provider Enumeration Date: 04/10/2017
Last Update Date: 04/09/2021

Medicare PECOS Information:

PECOS PAC ID: 0143507921
Enrollment ID: I20200805002625

Medical Identifiers

Medical identifiers for Ryan David Mantooth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114450822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	E-13154 (Arkansas)	Primary
207P00000X	Emergency Medicine	MD.37708 (Alabama)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Washington Regional Medical Center	Fayetteville, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington Regional Medical System	8820995434	219

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 David Mantooth allows following entities to bill medicare on his behalf.

Entity Name	Washington Regional Medical System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306801485 PECOS PAC ID: 8820995434 Enrollment ID: O20051208000082

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 David Mantooth 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 David Mantooth, MD Po Box 550, Lowell, AR 72745-1900 Ph: (479) 473-7775	Ryan David Mantooth, MD 3215 N North Hills Blvd., Fayetteville, AR 72703 Ph: (479) 463-7102

Reviews and Comments

Emergency Medicine Doctors in Fayetteville, AR

Dr. Dalton L Gray Ii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 E Appleby Rd, Suite 101, Fayetteville, AR 72703 Phone: 479-404-1010 Fax: 479-404-1011
Dr. Adam F Chandler, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864
Michael Osinski, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301
Dr. Barbara Elaine Ashe, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3215 N. North Hills Blvd., Fayetteville, AR 72703 Phone: 479-463-7902 Fax: 479-463-5345
Dr. Leigh Fincher, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-4451
Dr. John C Frank, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-5987

Ryan David Mantooth, MD - Medicare Emergency Medicine in Fayetteville, AR