Individual ProviderMary Loretta RyanEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1872 St Lukes Blvd, Easton, PA 18045-5669(484) 526-1000PECOS EnrollmentBased on the most recent information from CMS, provider Mary Loretta Ryan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1487383907Provider TypeIndividualFull NameRyan, Mary LorettaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/9/2022Last Updated6/9/2022Contact InformationPractice LocationPractice Address1872 St Lukes Blvd, Easton, PA 18045-5669Phone(484) 526-1000FaxUnlisted FaxMailing LocationMailing Address1700 St Lukes Blvd Ofc, Easton, PA 18045-5670Phone(484) 526-1000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseMT226959Pennsylvania