Meredith Coley Ryan, PA-C is a medicare enrolled "Physician Assistant" in Williston, Tennessee. Her current practice location is
285 Bama Way, Williston, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(817) 253-7605.
Meredith Coley Ryan is licensed to practice in Texas (license number PA02904) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497766414.
Provider's Profile
| Full Name | Meredith Coley Ryan |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 285 Bama Way, Williston, Tennessee |
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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: 1497766414
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 07/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 0143221572
- Enrollment ID: I20070126000454
Medical Identifiers
Medical identifiers for Meredith Coley Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497766414 | NPI | - | NPPES |
| 5608 | Other | AZ | PHYSICIAN ASSISTANT LICENSE |
| PA 02904 | Other | TX | PHYSICIAN ASSISTANT LICENSE |
| 3494 | Other | TN | PHYSICIAN ASSISTANT LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA02904 (Texas) | 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. Meredith Coley Ryan allows following entities to bill medicare on her behalf.
| Entity Name | University of Texas Southwestern Medical Center at Dallas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942270566
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792 |
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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. Meredith Coley 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 |
|---|
Meredith Coley Ryan, PA-C
285 Bama Way,
Williston, TN 38076-6153
Ph: (817) 253-7605 | Meredith Coley Ryan, PA-C
285 Bama Way,
Williston, TN 38076-6153
Ph: (817) 253-7605 |
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