| Ryan Scott Owsley, MD | |
|
16111 N Brinson St Ste 100, Nampa, ID 83687-5509 | |
| (208) 467-7546 | |
| (208) 467-7500 |
| Full Name | Ryan Scott Owsley |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 27 Years |
| Location | 16111 N Brinson St Ste 100, Nampa, 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 |
|---|---|---|---|
| 1659361681 | NPI | - | NPPES |
| 070017125 | Other | ID | RAILROAD MEDICARE |
| 806364100 | Medicaid | ID | |
| B0909 | Other | ID | BLUE CROSS |
| 48561 | Other | ID | BLUE CROSS |
| 000010144611 | Other | ID | BLUE SHIELD |
| 000010147426 | Other | ID | BLUE SHIELD |
| B0925 | Other | ID | BLUE CROSS |
| 000010138580 | Other | ID | BLUE SHIELD |
| 48553 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | M8483 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Mccall | Mccall, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Dermatology Of Idaho, Pllc | 4688833650 | 3 |
| Entity Name | Comprehensive Dermatology Of Idaho, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386921294 PECOS PAC ID: 4688833650 Enrollment ID: O20120310000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Scott Owsley, MD 16111 N Brinson St Ste 100, Nampa, ID 83687-5509 Ph: (208) 467-7546 | Ryan Scott Owsley, MD 16111 N Brinson St Ste 100, Nampa, ID 83687-5509 Ph: (208) 467-7546 |
Warren N. Miller, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4400 E Flamingo Ave, Nampa, ID 83687 Phone: 208-288-4970 Fax: 208-463-3044 | |
Dr. Gavin Ross Powell, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 318 2nd St S, Nampa, ID 83651 Phone: 208-467-3006 Fax: 208-467-1155 | |
Ted James Ryser, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 318 2nd Street South, Nampa, ID 83651 Phone: 208-467-3006 Fax: 208-467-1155 | |
Andrea Cortes Dobson, PA Dermatology Medicare: Accepting Medicare Assignments Practice Location: 318 2nd St S, Nampa, ID 83651 Phone: 208-467-3006 Fax: 208-467-1155 |