| Dr Ryan Bruce Isherwood, MD | |
|
11946 Standing Stone Dr, Gretna, NE 68028-8094 | |
| (402) 815-4500 | |
| (402) 815-4510 |
| Full Name | Dr Ryan Bruce Isherwood |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 11946 Standing Stone Dr, Gretna, Nebraska |
| 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 |
|---|---|---|---|
| 1346446234 | NPI | - | NPPES |
| 47068731741 | Medicaid | NE | |
| 47068731734 | Medicaid | NE | |
| 10026480100 | Medicaid | NE | |
| 1346446234 | Medicaid | IA | |
| 47068731749 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | TEP 5427 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Nebraska Methodist Hospital | Omaha, NE | Hospital |
| Chi Health Lakeside | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Clinic Inc | 4880506062 | 536 |
| Innovate Rehab And Wellness Llc | 5991054645 | 108 |
| Entity Name | Physicians Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Bruce Isherwood, MD Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Dr Ryan Bruce Isherwood, MD 11946 Standing Stone Dr, Gretna, NE 68028-8094 Ph: (402) 815-4500 |
Derek Logan Marshall, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 W Gruenther Rd, Gretna, NE 68028 Phone: 402-332-2772 | |
Carmella N Imig, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 W Gruenther Rd, Gretna, NE 68028 Phone: 402-332-2772 Fax: 402-332-5446 | |
William Lowndes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 W Highway 370, Gretna, NE 68028 Phone: 402-332-2772 | |
Karen S Staack, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 W Gruenther Rd, Gretna, NE 68028 Phone: 402-332-2772 Fax: 402-332-5446 | |
Kathleen A Archer, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11820 Standing Stone Dr, Gretna, NE 68028 Phone: 402-332-3903 Fax: 402-391-3076 |