| Dr Ryan M Kealy, MD | |
|
810 12th St, Hood River, OR 97031-1587 | |
| (541) 399-7552 | |
| Not Available |
| Full Name | Dr Ryan M Kealy |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 18 Years |
| Location | 810 12th St, Hood River, Oregon |
| 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 |
|---|---|---|---|
| 1033325758 | NPI | - | NPPES |
| 500654588 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD175853 (Oregon) | Secondary |
| 207Q00000X | Family Medicine | 201001235 (North Carolina) | Secondary |
| 208M00000X | Hospitalist | MD175853 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Hood River Memorial Hospital | Hood river, OR | Hospital |
| Curry General Hospital | Gold beach, OR | Hospital |
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rural Physicians Group-pannu Pllc | 0345467486 | 103 |
| Providence Health And Services Oregon | 7315856010 | 69 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Entity Name | Curry Health District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487696985 PECOS PAC ID: 2365352747 Enrollment ID: O20040109000983 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053862714 PECOS PAC ID: 7315856010 Enrollment ID: O20040304001330 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255429338 PECOS PAC ID: 7315856010 Enrollment ID: O20061104000324 |
| Entity Name | Rural Physicians Group-pannu Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891236584 PECOS PAC ID: 0345467486 Enrollment ID: O20140925000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan M Kealy, MD Po Box 3390, Portland, OR 97208-3390 Ph: () - | Dr Ryan M Kealy, MD 810 12th St, Hood River, OR 97031-1587 Ph: (541) 399-7552 |