| Dr James J Ryan, MD | |
|
4572 County Road 61, Moose Lake, MN 55767-9401 | |
| (218) 485-2105 | |
| Not Available |
| Full Name | Dr James J Ryan |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 35 Years |
| Location | 4572 County Road 61, Moose Lake, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598768194 | NPI | - | NPPES |
| 963826100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34503 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Moose Lake | Moose lake, MN | Hospital |
| Essentia Health Sandstone | Sandstone, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Essentia Health Moose Lake | 6608290333 | 8 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Pine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326041633 PECOS PAC ID: 3870406945 Enrollment ID: O20031106000272 |
| Entity Name | Unity Family Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
| Entity Name | Unity Family Healthcare |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1780630939 PECOS PAC ID: 9830003516 Enrollment ID: O20061104000248 |
| Entity Name | Essentia Health Moose Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200730001548 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James J Ryan, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Dr James J Ryan, MD 4572 County Road 61, Moose Lake, MN 55767-9401 Ph: (218) 485-2105 |
Dr. Sharon Elaine Gossett, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4570 Cty. Hwy. 61, Moose Lake, MN 55767 Phone: 218-485-4491 Fax: 218-485-4724 | |
Dr. Samantha Luci Leonard-ndomb, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4572 County Road 61, Moose Lake, MN 55767 Phone: 218-485-2015 |