Dr Ryan Lewis Van De Graaff, MD - Medicare Otolaryngology in Boise, ID

Dr Ryan Lewis Van De Graaff, MD is a medicare enrolled "Otolaryngology" physician in Boise, Idaho. He went to University Of Utah School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Southwest Idaho Ear Nose And Throat and his current practice location is 900 N Liberty St., Ste 400, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 367-3320.

Dr Ryan Lewis Van De Graaff is licensed to practice in Idaho (license number M-10288) 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 1619067436.

Contact Information

Dr Ryan Lewis Van De Graaff, MD
900 N Liberty St., Ste 400,
Boise, ID 83704
(208) 367-3320
(208) 367-7474



Physician's Profile

Full NameDr Ryan Lewis Van De Graaff
GenderMale
SpecialityOtolaryngology
Experience26 Years
Location900 N Liberty St., Boise, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ryan Lewis Van De Graaff attended and graduated from University Of Utah School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1619067436
  • Provider Enumeration Date: 10/13/2006
  • Last Update Date: 06/01/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8527133297
  • Enrollment ID: I20080814000156

Medical Identifiers

Medical identifiers for Dr Ryan Lewis Van De Graaff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619067436NPI-NPPES
808096700MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 22476 (Nebraska)Secondary
207Y00000XOtolaryngology M-10288 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital
Saint Alphonsus Regional Medical CenterBoise, IDHospital
St Luke's Wood River Medical CenterKetchum, IDHospital
St Luke's Nampa Medical CenterNampa, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Idaho Ear Nose And Throat004240203411

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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. Dr Ryan Lewis Van De Graaff allows following entities to bill medicare on his behalf.
Entity NameSouthwest Idaho Ear Nose And Throat
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306823125
PECOS PAC ID: 0042402034
Enrollment ID: O20101008000695

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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. Dr Ryan Lewis Van De Graaff 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 AddressPractice Location Address
Dr Ryan Lewis Van De Graaff, MD
900 N. Liberty St., Ste 400,
Boise, ID 83704

Ph: (208) 367-3320
Dr Ryan Lewis Van De Graaff, MD
900 N Liberty St., Ste 400,
Boise, ID 83704

Ph: (208) 367-3320

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Otolaryngology Doctors in Boise, ID

Mrs. Tiffany Kearny, PA
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704
Phone: 208-367-7423    
Dr. Eric T Garner, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 900 N Liberty St, Ste 400, Boise, ID 83704
Phone: 208-367-3320    Fax: 208-367-7474
Dr. Jacob G Robison, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Idaho St, Boise, ID 83712
Phone: 208-381-9590    
Dr. Todd Rustad, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 900 N Liberty St, Ste 400, Boise, ID 83704
Phone: 208-367-3320    Fax: 208-367-7474
Tyson Nielsen, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704
Phone: 208-367-3320    Fax: 208-267-3979
Bret J Rodgers,
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 6077 N Eagle Rd, Boise, ID 83713
Phone: 208-939-9000    

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