Ryan T Degerstrom (NPI# 1093769333, PAC ID# 6800795030) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1093769333 |
| PAC ID by PECOS | 6800795030 |
| Professional Enrollment ID | I20150826000074 |
| Full Name | Ryan T Degerstrom |
| Organization Legal Name | RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS |
| Address |
36745 Aiken Rd Bayfield WI 54814-4579 |
| Phone Number | 71577937072258 |
| Gender | M |
| Credential | PT |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4284537580 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 36745 Aiken Rd, Bayfield, WI 54814-4579 | 71577937072258 | RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS |
| Organization Legal Name | RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Nyman | Nurse Practitioner | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Ann E Reitz | Family Medicine | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Corwin J Sateren | Optometry | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Tiffany A Darling | General Practice | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Street Address |
36745 AIKEN RD |
| City | BAYFIELD |
| State | WI |
| Zip | 54814-4579 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Nyman | Nurse Practitioner | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Ann E Reitz | Family Medicine | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Corwin J Sateren | Optometry | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Tiffany A Darling | General Practice | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| City | BAYFIELD |
| Zip Code | 54814 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BAYFIELD + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.