Individual ProviderRyan HeyveldCounselorBehavioral Health & Social Service ProvidersPractice Address100 Lakemary Dr, Paola, KS 66071-1855(913) 557-8056(913) 557-4000PECOS EnrollmentBased on the most recent information from CMS, provider Ryan Heyveld is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1750927638Provider TypeIndividualFull NameHeyveld, RyanGenderMaleSole ProprietorNoEnumeration Date11/26/2019Last Updated1/12/2022Contact InformationPractice LocationPractice Address100 Lakemary Dr, Paola, KS 66071-1855Phone(913) 557-8056FaxUnlisted FaxMailing LocationMailing Address100 Lakemary Dr, Paola, KS 66071-1855Phone(913) 557-4000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense3359Kansas