Ryan Thayer Novak, MD is a medicare enrolled "Urology" physician in Grand Rapids, Minnesota. He went to University Of Minnesota Medical School and graduated in 2008 and has 16 years of diverse experience with area of expertise as Urology. He is a member of the group practice Ali'i Health Center and his current practice location is
1601 Golf Course Road, Grand Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 326-5000.
Ryan Thayer Novak is licensed to practice in Minnesota (license number 55735) 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 1235398751.
Physician's Profile
Full Name | Ryan Thayer Novak |
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Gender | Male |
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Speciality | Urology |
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Experience | 16 Years |
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Location | 1601 Golf Course Road, Grand Rapids, Minnesota |
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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. |
Medical Education and Training:
- Ryan Thayer Novak attended and graduated from University Of Minnesota Medical School in 2008
NPI Data:
- NPI Number: 1235398751
- Provider Enumeration Date: 06/09/2008
- Last Update Date: 02/05/2016
Medicare PECOS Information:
- PECOS PAC ID: 2961642426
- Enrollment ID: I20230630000776
Medical Identifiers
Medical identifiers for Ryan Thayer Novak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235398751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 55735 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Ali'i Health Center | 4486984549 | 38 |
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 Thayer Novak allows following entities to bill medicare on his behalf.
Entity Name | Alii Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285107698 PECOS PAC ID: 4486984549 Enrollment ID: O20191002003639 |
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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 Thayer Novak 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 |
Ryan Thayer Novak, MD 1601 Golf Course Road, Grand Rapids, MN 55744-8648 Ph: (218) 326-5000 | Ryan Thayer Novak, MD 1601 Golf Course Road, Grand Rapids, MN 55744-8648 Ph: (218) 326-5000 |
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