Ryan Butzko, DO - Medicare Internal Medicine in Syracuse, NY

Ryan Butzko, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Syracuse, New York. His current practice location is 4900 Broad Rd, Ste 4c - North, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 492-5804.

Ryan Butzko is licensed to practice in New York (license number 297748) 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 1356705735.

Contact Information

Ryan Butzko, DO
4900 Broad Rd, Ste 4c - North,
Syracuse, NY 13215
(315) 492-5804
Not Available



Physician's Profile

Full NameRyan Butzko
GenderMale
SpecialityInternal Medicine - Pulmonary Disease
Location4900 Broad Rd, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356705735
  • Provider Enumeration Date: 04/11/2016
  • Last Update Date: 08/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062749112
  • Enrollment ID: I20220913000871

Medical Identifiers

Medical identifiers for Ryan Butzko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356705735NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 297748 (New York)Secondary
207RS0012XInternal Medicine - Sleep Medicine 297748 (New York)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 297748 (New York)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 Butzko allows following entities to bill medicare on his behalf.
Entity NameDepartment Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063468239
PECOS PAC ID: 3274445796
Enrollment ID: O20031104000051

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Entity NameUpstate Community Medical, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689620163
PECOS PAC ID: 0143238782
Enrollment ID: O20060323000644

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Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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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 Butzko 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 AddressPractice Location Address
Ryan Butzko, DO
4900 Broad Rd, Ste 4c - North,
Syracuse, NY 13215

Ph: (315) 464-4189
Ryan Butzko, DO
4900 Broad Rd, Ste 4c - North,
Syracuse, NY 13215

Ph: (315) 492-5804

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Internal Medicine Doctors in Syracuse, NY

Courtney Myers, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 750 E Adams St Ste 311, Syracuse, NY 13210
Phone: 315-464-5815    
Joan Marie Mitchell, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 736 Irving Ave, Syracuse, NY 13210
Phone: 315-425-4828    Fax: 315-425-4827
Gordana Obradovic, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1304 Buckley Rd, Suite 200, Syracuse, NY 13212
Phone: 315-478-3311    Fax: 315-476-5211
Kristin A Ramella, NP
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 90 Presidential Plz Ste 5010, Syracuse, NY 13202
Phone: 315-464-9335    
Vinodhini M Subramanian, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 736 Irving Ave, Syracuse, NY 13210
Phone: 315-470-7111    
Robert R. Michiel, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202
Phone: 315-464-9335    Fax: 315-464-9338
Michael P Gabris, MD FACC
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Genesee St, Suite 300, Syracuse, NY 13210
Phone: 315-471-1044    Fax: 315-474-4312

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