| Michael J Ryan, MD | |
|
232 S Whisperwood Way, Boise, ID 83709-4900 | |
| (208) 350-6450 | |
| Not Available |
| Full Name | Michael J Ryan |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 59 Years |
| Location | 232 S Whisperwood Way, 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 |
|---|---|---|---|
| 1821039025 | NPI | - | NPPES |
| 003908900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | M5502 (Idaho) | Secondary |
| 208D00000X | General Practice | M5502 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
| Banner Thunderbird Medical Center | Glendale, AZ | Hospital |
| Yuma Regional Medical Center | Yuma, AZ | Hospital |
| Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner - University Hospital Based Physicians Llc | 1052614294 | 287 |
| Banner - University Physician Specialists Llc | 5991008054 | 295 |
| Entity Name | Banner-university Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
| Entity Name | Banner - University Hospital Based Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Entity Name | Banner - University Physician Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476 |
| Entity Name | Banner Imaging Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770139958 PECOS PAC ID: 1850724386 Enrollment ID: O20191213001312 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Ryan, MD Po Box 9649, Boise, ID 83707-4649 Ph: (208) 472-8100 | Michael J Ryan, MD 232 S Whisperwood Way, Boise, ID 83709-4900 Ph: (208) 350-6450 |
Dr. James Hunter Schrader, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, St. Luke's Internal Medicine, Boise, ID 83712 Phone: 208-647-3159 | |
Dr. Kirk A. Campana, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 4750 N Five Mile Rd, Boise, ID 83713 Phone: 208-375-0500 Fax: 208-375-4310 | |
Dr. Wilbur Allen Rader, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 115 W Main St, Suite 101, Boise, ID 83702 Phone: 208-343-3652 Fax: 208-367-9188 | |
Aurelia Nelson, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1910 University Dr, Ms 1351, Boise, ID 83725 Phone: 208-426-1459 Fax: 208-426-3005 | |
J Thomas Ahlquist, MD General Practice Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Lindsey Wells, NP-C General Practice Medicare: Not Enrolled in Medicare Practice Location: 2537 W State St Ste 110, Boise, ID 83702 Phone: 208-495-6555 Fax: 208-369-9273 | |
Myung Ae Song, D.O. , M.B.A. General Practice Medicare: Not Enrolled in Medicare Practice Location: 8950 W Emerald St, Ste 168, Boise, ID 83704 Phone: 208-901-5144 |