Ryan Van Liew, PA-C is a medicare enrolled "Physician Assistant - Medical" in Nuevo, California. His current practice location is
31303 Electric Ave, Nuevo, California. You can reach out to his office (for appointments etc.) via phone at
(951) 692-9544.
Ryan Van Liew is licensed to practice in California (license number PA61721) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013631357.
Provider's Profile
| Full Name | Ryan Van Liew |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 31303 Electric Ave, Nuevo, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013631357
- Provider Enumeration Date: 09/29/2022
- Last Update Date: 09/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224401757
- Enrollment ID: I20230303002146
Medical Identifiers
Medical identifiers for Ryan Van Liew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013631357 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA61721 (California) | Primary |
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 Van Liew allows following entities to bill medicare on his behalf.
| Entity Name | Inland Valley Trauma and Acute Care Surgery APC Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417448168
PECOS PAC ID: 9830444751
Enrollment ID: O20180618002839 |
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| Entity Name | Em Alliance California APC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376305755
PECOS PAC ID: 1951749894
Enrollment ID: O20240410003580 |
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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 Van Liew 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 Van Liew, PA-C
31303 Electric Ave,
Nuevo, CA 92567-9110
Ph: (951) 692-9544 | Ryan Van Liew, PA-C
31303 Electric Ave,
Nuevo, CA 92567-9110
Ph: (951) 692-9544 |
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