| Dr Ryan Lewis Van De Graaff, MD | |
| 
					900 N Liberty St., Ste 400, Boise, ID 83704  | |
| (208) 367-3320 | |
| (208) 367-7474 | 
| Full Name | Dr Ryan Lewis Van De Graaff | 
|---|---|
| Gender | Male | 
| Speciality | |
| Experience | Years | 
| Location | 900 N Liberty St., Boise, Idaho | 
| 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 | 
|---|---|---|---|
| 1619067436 | NPI | - | NPPES | 
| 808096700 | Medicaid | ID | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Y00000X | Otolaryngology | 22476 (Nebraska) | Secondary | 
| 207Y00000X | Otolaryngology | M-10288 (Idaho) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Ryan Lewis Van De Graaff, MD 900 N. Liberty St., Ste 400, Boise, ID 83704 Ph: (208) 367-3320  | Dr Ryan Lewis Van De Graaff, MD 900 N Liberty St., Ste 400, Boise, ID 83704 Ph: (208) 367-3320  | 
Seung Yong Ji, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-336-4368  | |
Mrs. Tiffany Kearny, PA Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-367-7423  | |
Dr. Eric T Garner, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St, Ste 400, Boise, ID 83704 Phone: 208-367-3320 Fax: 208-367-7474  | |
Dr. Jacob G Robison, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-9590  | |
Dr. Todd Rustad, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 900 N Liberty St, Ste 400, Boise, ID 83704 Phone: 208-367-3320 Fax: 208-367-7474  | |
Tyson Nielsen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-367-3320 Fax: 208-267-3979  | |
David Michael Lewis, DO Otolaryngology Medicare: Medicare Enrolled Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-367-3320  |