| Dr Ryan Vansickle, MD, PHARMD | |
|
214 Carter St, Berryville, AR 72616-4303 | |
| (870) 423-3355 | |
| Not Available |
| Full Name | Dr Ryan Vansickle |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 13 Years |
| Location | 214 Carter St, Berryville, Arkansas |
| 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 |
|---|---|---|---|
| 1972872703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 119791 (Minnesota) | Secondary |
| 207L00000X | Anesthesiology | R-9718 (Iowa) | Secondary |
| 207P00000X | Emergency Medicine | E-13914 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Arkansas Regional Medical Center | Harrison, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Arkansas Regional Medical Center | 5193615896 | 60 |
| Entity Name | Mercy Hospital Berryville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306326 PECOS PAC ID: 9032022769 Enrollment ID: O20040505000763 |
| Entity Name | Ozark Health, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043305501 PECOS PAC ID: 7315923620 Enrollment ID: O20040628000567 |
| Entity Name | Mercy Hospital Berryville |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1457306326 PECOS PAC ID: 9032022769 Enrollment ID: O20061104000216 |
| Entity Name | North Arkansas Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801067657 PECOS PAC ID: 5193615896 Enrollment ID: O20080724000204 |
| Entity Name | Ies Arkansas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598488090 PECOS PAC ID: 6204207665 Enrollment ID: O20230123000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Vansickle, MD, PHARMD 214 Carter St, Berryville, AR 72616-4303 Ph: (870) 423-3355 | Dr Ryan Vansickle, MD, PHARMD 214 Carter St, Berryville, AR 72616-4303 Ph: (870) 423-3355 |