Caleb Ryan King, MD in Lake Mary, FL

Caleb Ryan King, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in Lake Mary, Florida. His current practice location is 210 Rinehart Rd, Lake Mary, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 843-2100.

Caleb Ryan King is licensed to practice in Florida (license number ME164092) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780107987.

Contact Information

	Caleb Ryan King, MD
	210 Rinehart Rd, Lake Mary, FL 32746-2514
	(321) 843-2100
	(321) 842-3498

Map and Direction

Physician's Profile

Full Name	Caleb Ryan King
Gender	Male
Speciality	Surgery - Surgical Oncology
Location	210 Rinehart Rd, Lake Mary, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780107987
Provider Enumeration Date: 07/19/2017
Last Update Date: 08/29/2023

Medicare PECOS Information:

PECOS PAC ID: 0749662120
Enrollment ID: I20220802000156

Medical Identifiers

Medical identifiers for Caleb Ryan King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780107987	NPI	-	NPPES
119141200	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086X0206X	Surgery - Surgical Oncology	MD477897 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	TRN25561 (Florida)	Secondary
2086X0206X	Surgery - Surgical Oncology	ME164092 (Florida)	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. Caleb Ryan King allows following entities to bill medicare on his behalf.

Entity Name	University Of Pittsburgh Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883

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. Caleb Ryan King 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 Address	Practice Location Address
Caleb Ryan King, MD 210 Rinehart Rd, Lake Mary, FL 32746-2514 Ph: (321) 843-2100	Caleb Ryan King, MD 210 Rinehart Rd, Lake Mary, FL 32746-2514 Ph: (321) 843-2100

Reviews and Comments

Surgery Doctors in Lake Mary, FL

Dr. Robin L Rahm, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd Ste 213, Lake Mary, FL 32746 Phone: 407-829-2020 Fax: 407-829-2098
William L Huether Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746 Phone: 407-833-9195 Fax: 407-833-9308
Kasia Osadzinska, MD Surgery Medicare: Medicare Enrolled Practice Location: 402 E Springtree Way, Lake Mary, FL 32746 Phone: 850-322-2706
Dr. Nathan Christopher Deangelis, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746 Phone: 407-833-9195 Fax: 407-833-9308
Sriram Rangarajan, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4106 W Lake Mary Blvd Ste 213, Lake Mary, FL 32746 Phone: 407-422-3790 Fax: 407-425-4358
Seong Gon Bae, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd Ste 330, Lake Mary, FL 32746 Phone: 407-833-9195
John W. Robertson, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746 Phone: 407-833-9195 Fax: 407-833-9308

Caleb Ryan King, MD - Medicare Surgery in Lake Mary, FL