Ryan Mccauley Rivard, is a
Student In An Organized Health Care Education/training Program based in St. Paul, Minnesota. Ryan Mccauley Rivard is licensed to practice in * (Not Available) (license number ) and his current practice location is
701 25th Ave S, St. Paul, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(612) 330-1399.
NPI number for Ryan Mccauley Rivard is 1073235362 and his current mailing address is 5995 Lincoln Dr Apt 133, Edina, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073235362.
Provider's Profile
| Full Name | Ryan Mccauley Rivard |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 701 25th Ave S, St. Paul, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073235362
- Provider Enumeration Date: 09/14/2022
- Last Update Date: 09/14/2022
Medical Identifiers
Medical identifiers for Ryan Mccauley Rivard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073235362 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Mccauley Rivard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ryan Mccauley Rivard,
5995 Lincoln Dr Apt 133,
Edina, MN 55436-6104
Ph: () - | Ryan Mccauley Rivard,
701 25th Ave S,
St. Paul, MN 55108
Ph: (612) 330-1399 |
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