| Ryan Michael Lysne, PA | |
|
601 W 5th Ave Ste 400, Spokane, WA 99204-2715 | |
| (509) 344-2663 | |
| (509) 624-9179 |
| Full Name | Ryan Michael Lysne |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 601 W 5th Ave Ste 400, Spokane, Washington |
| 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 |
|---|---|---|---|
| 1528526993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | TA60987863 (Washington) | Secondary |
| 363A00000X | Physician Assistant | PA60964856 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Odessa Memorial Healthcare Center | Odessa, WA | Hospital |
| Ferry County Memorial Hospital | Republic, WA | Hospital |
| Providence Mount Carmel Hospital | Colville, WA | Hospital |
| Lincoln Hospital | Davenport, WA | Hospital |
| Samaritan Hospital | Moses lake, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Orthopaedic Specialists Ps | 7113811654 | 83 |
| Entity Name | Community Health Association of Spokane |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326005851 PECOS PAC ID: 9638063217 Enrollment ID: O20040212000971 |
| Entity Name | Northwest Orthopaedic Specialists PS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609845825 PECOS PAC ID: 7113811654 Enrollment ID: O20040213000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Michael Lysne, PA 601 W 5th Ave Ste 400, Spokane, WA 99204-2715 Ph: (509) 344-2663 | Ryan Michael Lysne, PA 601 W 5th Ave Ste 400, Spokane, WA 99204-2715 Ph: (509) 344-2663 |
Jeffrey Hayward, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5921 N Market St, Spokane, WA 99208 Phone: 509-444-8200 |
Ms. Katherine Nall Birrer, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave Ste 245, Spokane, WA 99208 Phone: 509-824-1686 |
Thomas D Dea, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-2460 |
Kevin Ryan Kellogg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 W 5th Ave Ste 400, Spokane, WA 99204 Phone: 509-252-3959 |
Kurt William Kohler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 62 W 7th Ave Ste 110, Spokane, WA 99204 Phone: 509-456-0262 Fax: 509-462-5059 |
Nikolus Remington Richey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4815 N Assembly St, Spokane, WA 99205 Phone: 509-434-7000 Fax: 509-434-7130 |
Kristin Michele Treece, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave Ste 245, Spokane, WA 99208 Phone: 509-252-1977 Fax: 509-227-7070 |