Dr Isa Ilana Ryan, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Evanston, Illinois. She went to Vanderbilt University School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Endeavor Health Medical Group and her current practice location is
1000 Central St Ste 620, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 933-1773.
Dr Isa Ilana Ryan is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811350895.
Physician's Profile
| Full Name | Dr Isa Ilana Ryan |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 8 Years |
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| Location | 1000 Central St Ste 620, Evanston, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Isa Ilana Ryan attended and graduated from Vanderbilt University School Of Medicine in 2016
NPI Data:
- NPI Number: 1811350895
- Provider Enumeration Date: 03/29/2016
- Last Update Date: 04/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779875489
- Enrollment ID: I20220617000799
Medical Identifiers
Medical identifiers for Dr Isa Ilana Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811350895 | NPI | - | NPPES |
| 036.152742 | Other | IL | ILLINOIS STATE MEDICAL LICENSE |
| 036152742 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 036.152742 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Endeavor Health Medical Group | 2163334699 | 2710 |
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 Isa Ilana Ryan allows following entities to bill medicare on her behalf.
| Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118 |
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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 Isa Ilana Ryan 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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Dr Isa Ilana Ryan, MD
1000 Central St Ste 620,
Evanston, IL 60201-1780
Ph: (847) 218-9578 | Dr Isa Ilana Ryan, MD
1000 Central St Ste 620,
Evanston, IL 60201-1780
Ph: (847) 933-1773 |
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