| Ryan Van Dam, PA | |
|
3 Thistle Ln, Westford, MA 01886-4034 | |
| (978) 302-8217 | |
| Not Available |
| Full Name | Ryan Van Dam |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 3 Thistle Ln, Westford, Massachusetts |
| 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 |
|---|---|---|---|
| 1639616949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.PA.60730273 (Washington) | Primary |
| 363A00000X | Physician Assistant | 2271480 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multicare Health System | 7719899897 | 2312 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Northwest Physician Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275567919 PECOS PAC ID: 4183523806 Enrollment ID: O20031231000754 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Van Dam, PA Po Box 31001-4141, Pasadena, CA 91110-0001 Ph: (888) 227-3312 | Ryan Van Dam, PA 3 Thistle Ln, Westford, MA 01886-4034 Ph: (978) 302-8217 |
Ms. Hannah Kullberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12 Tadmuck Ln, Westford, MA 01886 Phone: 978-320-1994 |
Samantha Jo Niven, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 506 Groton Rd, Westford, MA 01886 Phone: 978-399-0061 |
Devin Stimpson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 133 Littleton Rd Ste 101, Westford, MA 01886 Phone: 789-577-0437 |
Jennifer Lau, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 Applewood Dr, Westford, MA 01886 Phone: 617-818-8520 |
Kayla Nicole Fallis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 506 Groton Rd Ste 3, Westford, MA 01886 Phone: 978-399-0061 Fax: 978-399-0069 |
Katelyn Jean Maronn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 133 Littleton Rd, Westford, MA 01886 Phone: 978-577-1946 |
Jessica Ashley Wright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 133 Littleton Rd, Suite 101, Westford, MA 01886 Phone: 978-577-0437 |