Ryan B Israelsen, MD is a medicare enrolled "Allergy & Immunology" physician in Medford, Oregon. He went to University Of Utah School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Allergy And Asthma Center Of Southern Oregon, Pc and his current practice location is
3860 Crater Lake Ave, Medford, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 858-1003.
Ryan B Israelsen is licensed to practice in Oregon (license number MD187596) 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 1487910766.
Physician's Profile
| Full Name | Ryan B Israelsen |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 12 Years |
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| Location | 3860 Crater Lake Ave, Medford, Oregon |
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| Accepts Medicare Assignments | Yes. He 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:
- Ryan B Israelsen attended and graduated from University Of Utah School Of Medicine in 2012
NPI Data:
- NPI Number: 1487910766
- Provider Enumeration Date: 04/11/2012
- Last Update Date: 06/15/2018
Medicare PECOS Information:
- PECOS PAC ID: 0648499525
- Enrollment ID: I20180515001905
Medical Identifiers
Medical identifiers for Ryan B Israelsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487910766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MD187596 (Oregon) | Secondary |
| 208000000X | Pediatrics | MD187596 (Oregon) | Secondary |
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | MD187596 (Oregon) | Secondary |
| 207K00000X | Allergy & Immunology | MD187596 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Allergy And Asthma Center Of Southern Oregon, Pc | 1355449141 | 4 |
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 B Israelsen allows following entities to bill medicare on his behalf.
| Entity Name | Allergy & Asthma Center Of Southern Oregon, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760548408
PECOS PAC ID: 1355449141
Enrollment ID: O20070601000084 |
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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 B Israelsen 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 B Israelsen, MD
3860 Crater Lake Ave # A,
Medford, OR 97504-9741
Ph: (541) 858-1003 | Ryan B Israelsen, MD
3860 Crater Lake Ave,
Medford, OR 97504
Ph: (541) 858-1003 |
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