Dr Ryan Lewis Van De Graaff, MD in Boise, ID

Dr Ryan Lewis Van De Graaff, MD is a medicare enrolled "Otolaryngology" physician in Boise, Idaho. He went to University Of Utah School Of Medicine and graduated in 1998 and has 27 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Southwest Idaho Ear Nose And Throat and his current practice location is 900 N Liberty St., Ste 400, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 367-3320.

Dr Ryan Lewis Van De Graaff is licensed to practice in Idaho (license number M-10288) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619067436.

Contact Information

	Dr Ryan Lewis Van De Graaff, MD
	900 N Liberty St., Ste 400, Boise, ID 83704
	(208) 367-3320
	(208) 367-7474

Map and Direction

Physician's Profile

Full Name	Dr Ryan Lewis Van De Graaff
Gender	Male
Speciality	Otolaryngology
Experience	27 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.

Medical Education and Training:

Dr Ryan Lewis Van De Graaff attended and graduated from University Of Utah School Of Medicine in 1998

NPI Data:

NPI Number: 1619067436
Provider Enumeration Date: 10/13/2006
Last Update Date: 06/01/2010

Medicare PECOS Information:

PECOS PAC ID: 8527133297
Enrollment ID: I20080814000156

Medical Identifiers

Medical identifiers for Dr Ryan Lewis Van De Graaff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619067436	NPI	-	NPPES
808096700	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	22476 (Nebraska)	Secondary
207Y00000X	Otolaryngology	M-10288 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Regional Medical Center	Boise, ID	Hospital
Saint Alphonsus Regional Medical Center	Boise, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwest Idaho Ear Nose And Throat	0042402034	13

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ryan Lewis Van De Graaff allows following entities to bill medicare on his behalf.

Entity Name	Southwest Idaho Ear Nose And Throat
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306823125 PECOS PAC ID: 0042402034 Enrollment ID: O20101008000695

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ryan Lewis Van De Graaff is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

Reviews and Comments

Otolaryngology Doctors in Boise, ID

Seung Yong Ji, MD Otolaryngology Medicare: May Accept Medicare Assignments 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: Medicare Enrolled 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: Medicare Enrolled 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: Accepting Medicare Assignments Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-367-3320

Dr Ryan Lewis Van De Graaff, MD - Medicare Otolaryngology in Boise, ID