| Kevin J Ryan, PA-C | |
|
5333 Mcauley Dr, Suite 5112, Ypsilanti, MI 48197 | |
| (844) 237-3627 | |
| Not Available |
| Full Name | Kevin J Ryan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 5333 Mcauley Dr, Ypsilanti, Michigan |
| 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 |
|---|---|---|---|
| 1619420122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 5601007832 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harper University Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vhs Physicians Of Michigan | 8921289760 | 219 |
| Entity Name | St Joseph Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659499705 PECOS PAC ID: 3779489281 Enrollment ID: O20040226001002 |
| Entity Name | Saint Joseph Mercy Livingston Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285753236 PECOS PAC ID: 8628964525 Enrollment ID: O20040301000934 |
| Entity Name | Vhs Physicians of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073827101 PECOS PAC ID: 8921289760 Enrollment ID: O20110225000849 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J Ryan, PA-C 5966 Cottonwood Dr, Ypsilanti, MI 48197-8203 Ph: (734) 358-5108 | Kevin J Ryan, PA-C 5333 Mcauley Dr, Suite 5112, Ypsilanti, MI 48197 Ph: (844) 237-3627 |
Kurt J Hiester, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5315 Elliott Dr, Ste 102, Ypsilanti, MI 48197 Phone: 734-434-4110 Fax: 734-434-1966 |
Mr. Daniel Patrick Defer, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-5609 |
Laura Beth Winningham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5303 Elliott Dr, Suite 210, Ypsilanti, MI 48197 Phone: 734-647-8902 |
Blake Malcolm Ely, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 248-697-1548 |
Diana Paez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Iha Hospital Medicine Services, 5301 E Huron River Drive, Ypsilanti, MI 48197 Phone: 734-712-8676 |
Phillip John Villanueva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-8676 Fax: 734-712-3855 |
Kay Awad, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3456 |