Ms Elizabeth Mary Ryan, NP - Medicare Nurse Practitioner in Petaluma, CA

Ms Elizabeth Mary Ryan, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Petaluma, California. Her current practice location is 3900 Lakeville Hwy, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 765-3960.

Ms Elizabeth Mary Ryan is licensed to practice in California (license number 495390) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669539805.

Contact Information

Ms Elizabeth Mary Ryan, NP
3900 Lakeville Hwy,
Petaluma, CA 94954-5698
(707) 765-3960
Not Available

Map and Direction




Provider's Profile

Full NameMs Elizabeth Mary Ryan
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location3900 Lakeville Hwy, Petaluma, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669539805
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 02/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2365415296
  • Enrollment ID: I20040818000260

Medical Identifiers

Medical identifiers for Ms Elizabeth Mary Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669539805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 495390 (California)Primary

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. Ms Elizabeth Mary Ryan allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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. Ms Elizabeth Mary 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 AddressPractice Location Address
Ms Elizabeth Mary Ryan, NP
3900 Lakeville Hwy,
Petaluma, CA 94954-5698

Ph: (707) 765-3594
Ms Elizabeth Mary Ryan, NP
3900 Lakeville Hwy,
Petaluma, CA 94954-5698

Ph: (707) 765-3960

Reviews and Comments


Nurse Practitioner Nurses in Petaluma, CA

Ms. Barbara L. Schoen, FNP/PA-C
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Practice Location: 599 Tomales Rd., Petaluma, CA 94952
Phone: 707-765-7205    
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Practice Location: 104 Lynch Creek Way, Suite 10, Petaluma, CA 94954
Phone: 707-782-9123    Fax: 707-782-9622
Sherin Ann Chakkalakel, DNP, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 141 Lynch Creek Way, Petaluma, CA 94954
Phone: 707-763-0802    
Dahae Hwang,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954
Phone: 707-559-7500    
Gisselle E Suazo,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954
Phone: 707-559-7617    Fax: 707-559-7620
Andrew K Chinnock, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 400 N Mcdowell Blvd, Petaluma, CA 94954
Phone: 707-776-8066    
Stephanie M Treece,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954
Phone: 707-559-7500    Fax: 707-559-7620

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.