Ryan B Israelsen, MD is a medicare enrolled "Allergy & Immunology" physician in Medford, Oregon. His current practice location is
3860 Crater Lake Ave, Medford, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 858-1003.
Ryan B Israelsen is licensed to practice in Oregon (license number MD187596) 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 1487910766.
Physician's Profile
| Full Name | Ryan B Israelsen |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 3860 Crater Lake Ave, Medford, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ryan B Israelsen attended and graduated from in
NPI Data:
- NPI Number: 1487910766
- Provider Enumeration Date: 04/11/2012
- Last Update Date: 06/15/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ryan B Israelsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487910766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MD187596 (Oregon) | Secondary |
| 208000000X | Pediatrics | MD187596 (Oregon) | Secondary |
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | MD187596 (Oregon) | Secondary |
| 207K00000X | Allergy & Immunology | MD187596 (Oregon) | 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. Ryan B Israelsen 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 |
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Ryan B Israelsen, MD
3860 Crater Lake Ave # A,
Medford, OR 97504-9741
Ph: (541) 858-1003 | Ryan B Israelsen, MD
3860 Crater Lake Ave,
Medford, OR 97504
Ph: (541) 858-1003 |
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