| Ryan R Davis, DO | |
|
101 Willmar Ave Sw, Willmar, MN 56201 | |
| (320) 231-5000 | |
| (320) 231-5067 |
| Full Name | Ryan R Davis |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 101 Willmar Ave Sw, Willmar, Minnesota |
| 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 |
|---|---|---|---|
| 1427374123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 56291 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bethesda Home Health | Willmar, MN | Home health agency |
| Rice Hospice Program | Willmar, MN | Hospice |
| Carris Health Llc | Willmar, MN | Hospital |
| Carris Health - Redwood, Llc | Redwood falls, MN | Hospital |
| Centracare Health Paynesville Hospital | Paynesville, MN | Hospital |
| Centracare Health System - Sauk Centre | Sauk centre, MN | Hospital |
| Centracare Health System - Melrose Hospital | Melrose, MN | Hospital |
| Bethesda | Willmar, MN | Nursing home |
| Glenoaks Senior Living Campus | New london, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Health-paynesville Llc | 1153555719 | 31 |
| Centracare Clinic Southwest Llc | 8426457946 | 153 |
| Entity Name | Emergency Physicians Professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801871934 PECOS PAC ID: 9537072657 Enrollment ID: O20031106000068 |
| Entity Name | Centracare Health System - Melrose |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20031231000690 |
| Entity Name | Centracare Health System - Long Prairie |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20050823000460 |
| Entity Name | Centracare Health System - Melrose |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20060504000839 |
| Entity Name | Centracare Health System - Long Prairie |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20061104000579 |
| Entity Name | Centracare Health System - Sauk Centre |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578813762 PECOS PAC ID: 4981857216 Enrollment ID: O20130116000380 |
| Entity Name | Centracare Health-paynesville Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1205269941 PECOS PAC ID: 1153555719 Enrollment ID: O20131108000012 |
| Entity Name | Centracare Health System - Sauk Centre |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1740553932 PECOS PAC ID: 4981857216 Enrollment ID: O20140523001292 |
| Entity Name | Centracare Health-paynesville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629402516 PECOS PAC ID: 1153555719 Enrollment ID: O20140909002390 |
| Entity Name | Carris Health Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1134632680 PECOS PAC ID: 7012274228 Enrollment ID: O20180111000831 |
| Entity Name | Carris Health - Redwood Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265914048 PECOS PAC ID: 7911259619 Enrollment ID: O20181129001082 |
| Entity Name | Centracare Clinic Southwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
| Entity Name | Centracare Health - Benson Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326757154 PECOS PAC ID: 1850761685 Enrollment ID: O20230203001165 |
| Entity Name | Centracare Health - Benson Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326757154 PECOS PAC ID: 1850761685 Enrollment ID: O20230411000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan R Davis, DO 101 Willmar Ave Sw, Willmar, MN 56201 Ph: (320) 231-5000 | Ryan R Davis, DO 101 Willmar Ave Sw, Willmar, MN 56201 Ph: (320) 231-5000 |
Lee M Haggenjos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 2nd St Sw Ste 1, Willmar, MN 56201 Phone: 320-235-7232 | |
Dr. Raymond J Mellema, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 | |
Dr. Robert M Kaiser, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 | |
Maria Jones Loerzel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 2nd St Sw, Suite 1, Willmar, MN 56201 Phone: 320-235-7232 Fax: 320-231-8602 | |
Shelly M Staska, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5026 | |
Rachel L Tollefsrud, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 2nd St Sw, Suite 1, Willmar, MN 56201 Phone: 320-235-7232 Fax: 320-231-8609 | |
Dr. William E. Hicks, M. D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Avenue Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 |