Jeanna Tachiki Ryan, RD is a
Physician Assistant physician based in Murray, Utah. Jeanna Tachiki Ryan is licensed to practice in * (Not Available) (license number ) and her current practice location is 243 E 6100 S, Murray, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 414-8890.
NPI number for Jeanna Tachiki Ryan is 1912316654 and her current mailing address is 2330 E Caprice Ct, Holladay, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912316654.
Physician's Profile
| Full Name | Jeanna Tachiki Ryan |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 243 E 6100 S, Murray, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912316654
- Provider Enumeration Date: 08/07/2014
- Last Update Date: 11/17/2021
Medical Identifiers
Medical identifiers for Jeanna Tachiki Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912316654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 87742931206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Jeanna Tachiki Ryan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeanna Tachiki Ryan, RD
2330 E Caprice Ct,
Holladay, UT 84124-6800
Ph: (801) 414-8890 | Jeanna Tachiki Ryan, RD
243 E 6100 S,
Murray, UT 84107-7302
Ph: (801) 414-8890 |
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