Ryan Conahan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Palos Verdes Estates, California. His current practice location is
380 Palos Verdes Dr W, Palos Verdes Estates, California. You can reach out to his office (for appointments etc.) via phone at
(310) 483-5384.
Ryan Conahan is licensed to practice in California (license number 95000575) 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 1972950533.
Provider's Profile
| Full Name | Ryan Conahan |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 380 Palos Verdes Dr W, Palos Verdes Estates, California |
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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: 1972950533
- Provider Enumeration Date: 05/24/2016
- Last Update Date: 07/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426331869
- Enrollment ID: I20170210000041
Medical Identifiers
Medical identifiers for Ryan Conahan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972950533 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 779632 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95000575 (California) | 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 Conahan allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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| Entity Name | Digestive Health Associates Of Southern California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639604747
PECOS PAC ID: 3375806888
Enrollment ID: O20180416002250 |
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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 Conahan 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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Ryan Conahan, CRNA
2404 N Maple Grove Rd,
Orange, CA 92867-1911
Ph: (310) 483-5384 | Ryan Conahan, CRNA
380 Palos Verdes Dr W,
Palos Verdes Estates, CA 90274-1212
Ph: (310) 483-5384 |
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