Dr Michael James Ryan Torres, MD is a medicare enrolled "General Practice" in Lakeland, Florida. His current practice location is
1129 N Missouri Ave, Lakeland, Florida. You can reach out to his office (for appointments etc.) via phone at
(866) 234-8534.
Dr Michael James Ryan Torres is licensed to practice in Florida (license number ACN1612) 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 1164072195.
Provider's Profile
| Full Name | Dr Michael James Ryan Torres |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1129 N Missouri Ave, Lakeland, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164072195
- Provider Enumeration Date: 09/11/2019
- Last Update Date: 08/19/2026
Medicare PECOS Information:
- PECOS PAC ID: 8729459482
- Enrollment ID: I20230118000139
Medical Identifiers
Medical identifiers for Dr Michael James Ryan Torres such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164072195 | NPI | - | NPPES |
| 132181300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 000407 (Puerto Rico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | ACN1612 (Florida) | Primary |
| 208D00000X | General Practice | 15872-I (Puerto Rico) | Secondary |
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. Dr Michael James Ryan Torres allows following entities to bill medicare on his behalf.
| Entity Name | Salud Integral En La Montana Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487677159
PECOS PAC ID: 8527972827
Enrollment ID: O20040721000677 |
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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. Dr Michael James Ryan Torres 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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Dr Michael James Ryan Torres, MD
47 5th St Nw,
Winter Haven, FL 33881-4672
Ph: (866) 234-8534 | Dr Michael James Ryan Torres, MD
1129 N Missouri Ave,
Lakeland, FL 33805-4411
Ph: (866) 234-8534 |
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