Ryan J Lieske, PA-C is a medicare enrolled "Physician Assistant" in Ravenna, Nebraska. He graduated from nursing school in 1997 and has 29 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Phelps Memorial Health Center and his current practice location is
104 W Seneca St, Ravenna, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(308) 452-3203.
Ryan J Lieske is licensed to practice in Nebraska (license number 767) 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 1821040536.
Provider's Profile
| Full Name | Ryan J Lieske |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 29 Years |
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| Location | 104 W Seneca St, Ravenna, Nebraska |
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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 J Lieske graduated from nursing school in 1997
NPI Data:
- NPI Number: 1821040536
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 05/05/2010
Medicare PECOS Information:
- PECOS PAC ID: 3678463320
- Enrollment ID: I20040317000867
Medical Identifiers
Medical identifiers for Ryan J Lieske such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821040536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 767 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Phelps Memorial Health Center | 9931011947 | 36 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ryan J Lieske allows following entities to bill medicare on his behalf.
| Entity Name | Phelps Memorial Health Center |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1629035936
PECOS PAC ID: 9931011947
Enrollment ID: O20071129000753 |
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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 J Lieske 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 J Lieske, PA-C
104 W Seneca St,
Ravenna, NE 68869-1363
Ph: (308) 452-3203 | Ryan J Lieske, PA-C
104 W Seneca St,
Ravenna, NE 68869-1363
Ph: (308) 452-3203 |
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