Timmon Hayley Ryan, PA-C is a medicare enrolled "Physician Assistant - Medical" in Caldwell, Kansas. Her current practice location is
761 W 175th St S, Caldwell, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 845-6492.
Timmon Hayley Ryan is licensed to practice in * (Not Available) (license number ) 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 1407548712.
Provider's Profile
Full Name | Timmon Hayley Ryan |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 761 W 175th St S, Caldwell, Kansas |
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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: 1407548712
- Provider Enumeration Date: 05/24/2023
- Last Update Date: 01/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638521917
- Enrollment ID: I20240123001587
Medical Identifiers
Medical identifiers for Timmon Hayley Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407548712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
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. Timmon Hayley 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 |
Timmon Hayley Ryan, PA-C 2049 S Cypress Ct, Wichita, KS 67207-5821 Ph: (316) 617-8307 | Timmon Hayley Ryan, PA-C 761 W 175th St S, Caldwell, KS 67022-8301 Ph: (620) 845-6492 |
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