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1992172860

NPI Code Detail

MEDICARE: RYNE R BEAN MD

MEDICARE: RYNE R BEAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center	64450-20	WI
2	207Q00000X	Family Medicine Physician	64450-20	WI
3	208M00000X	Hospitalist Physician	64450-20	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	000054176-K400240734	OTHER	WI	WI MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1992172860	OTHER	WI	BCBSWI
2	BEANRYN	OTHER	WI	MERCYCARE INSURANCE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992172860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYNE R BEAN MD

Provider Business Mailing Address
First Line	:	29624 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1296
Country	:	US
Telephone Number	:	608-756-7129
Fax Number	:	608-756-4700

Provider Business Practice Location Address
First Line	:	3524 E MILWAUKEE ST
Second Line	:
City	:	JANESVILLE
State	:	WI
Zip	:	53546-1626
Country	:	US
Telephone Number	:	608-756-7129
Fax Number	:	608-756-4700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2015
Last Update Date	:	04/29/2026

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Directions to “ RYNE R BEAN MD” Practice Location

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