Ryan Joe Wallace, RT (R) - Radiology in Moscow, ID

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Ryan Joe Wallace, RT (R) is a Radiology - Body Imaging physician based in Moscow, Idaho. Ryan Joe Wallace is licensed to practice in Idaho (license number 386921) and his current practice location is 2500 W A St Ste 201, Moscow, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 596-8408.

NPI number for Ryan Joe Wallace is 1770370488 and his current mailing address is 2323 Charnita Dr, Clarkston, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770370488.

Contact Information

Ryan Joe Wallace, RT (R)
2500 W A St Ste 201,
Moscow, ID 83843-6000
(208) 596-8408
Not Available

Map and Direction




Physician's Profile

Full NameRyan Joe Wallace
GenderMale
SpecialityRadiology - Body Imaging
Location2500 W A St Ste 201, Moscow, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770370488
  • Provider Enumeration Date: 04/24/2025
  • Last Update Date: 04/24/2025

Medical Identifiers

Medical identifiers for Ryan Joe Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770370488NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085B0100XRadiology - Body Imaging 386921 (Idaho)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 Joe Wallace 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 AddressPractice Location Address
Ryan Joe Wallace, RT (R)
2323 Charnita Dr,
Clarkston, WA 99403-1429

Ph: (208) 596-8408		Ryan Joe Wallace, RT (R)
2500 W A St Ste 201,
Moscow, ID 83843-6000

Ph: (208) 596-8408

Reviews and Comments


Radiology Doctors in Moscow, ID

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Phone: 208-882-8369    Fax: 208-882-1887

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.