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Ryan J Cerny

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

220 Cherry St SE, Grand Rapids, MI 49503

PECOS Enrollment

This provider is enrolled in PECOS as RYAN CERNY.

Based on the most recent information from CMS, provider Ryan J Cerny is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:37 AM.

Profile Details

Provider ID
1679540470
Provider Type
Individual
Full Name
Cerny, Ryan J
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
3/1/2006
Last Updated
11/3/2009

Contact Information

Practice Location

220 Cherry St SE, Grand Rapids, MI 49503

(616) 685-5050

(616) 685-8962

Mailing Location

245 State St SE, Ste 221, Grand Rapids, MI 49503

(616) 685-1808

(616) 685-1850

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601005608 Michigan
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085001941 Illinois

Ryan J Cerny

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Meyer, Kylie

Sturdevant, Samuel James

Kung, Tonya Lynn

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Walker, Madison

Groendyke, Alyssa Renee

Baker, Sarah Catherine

Honderd, Holly

Salk, Hannah Gabrielle

Lindhout, Kathleen A