Ryan Internal Medicine Pc - Medicare Primary Care in Flagstaff, AZ

Ryan Internal Medicine Pc is a medicare enrolled primary clinic (Internal Medicine) in Flagstaff, Arizona. The current practice location for Ryan Internal Medicine Pc is 107 E Oak Ave, Suite 202, Flagstaff, Arizona. For appointments, you can reach them via phone at (928) 773-2560. The mailing address for Ryan Internal Medicine Pc is 107 E Oak Ave, Suite 202, Flagstaff, Arizona and phone number is (928) 773-2560.

Ryan Internal Medicine Pc is licensed to practice in Arizona (license number 22530). The clinic also participates in the medicare program and its NPI number is 1033225024. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (928) 773-2560.

Contact Information

Ryan Internal Medicine Pc
107 E Oak Ave
Suite 202
Flagstaff
AZ 86001-1818
(928) 773-2560
(928) 913-8835

Primary Care Clinic Profile

Full NameRyan Internal Medicine Pc
SpecialityInternal Medicine
Location107 E Oak Ave, Flagstaff, Arizona
Authorized Official Name and PositionKeith T Ryan (OWNER)
Authorized Official Contact9287732560
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ryan Internal Medicine Pc
107 E Oak Ave
Suite 202
Flagstaff
AZ 86001-1818

Ph: (928) 773-2560
Ryan Internal Medicine Pc
107 E Oak Ave
Suite 202
Flagstaff
AZ 86001-1818

Ph: (928) 773-2560

NPI Details:

NPI Number1033225024
Provider Enumeration Date08/22/2006
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID4082613708
Medicare Enrollment IDO20061211000025

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Medical Identifiers

Medical identifiers for Ryan Internal Medicine Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033225024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 22530 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ryan Internal Medicine Pc acts as a billing entity for following providers:
Provider NameCynthia E Martin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346290962
PECOS PAC ID: 1557352051
Enrollment ID: I20040525001392

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Provider NameKeith T Ryan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366416869
PECOS PAC ID: 2668479213
Enrollment ID: I20061025000131

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Provider NameKatherine E Costa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215014485
PECOS PAC ID: 2264419886
Enrollment ID: I20090423000212

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Provider NameSherrill Weller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992896781
PECOS PAC ID: 4082634175
Enrollment ID: I20190218001337

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Provider NameJessica Holst
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134864754
PECOS PAC ID: 9931578481
Enrollment ID: I20221206001318

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Internal Medicine in Flagstaff, AZ

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North Country Healthcare, Inc.
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Medicare: Medicare Enrolled
Practice Location: 2920 N. 4th Street, Flagstaff, AZ 86004
Phone: 928-522-9400    Fax: 928-774-6687

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