Dr Kelly W Ryder, DO in Hattiesburg, MS - Medicare Internal Medicine

Dr Kelly W Ryder, DO is a medicare enrolled "Internal Medicine" physician in Hattiesburg, Mississippi. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Pine Ridge Indian Health Service Hospital and his current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 288-4329.

Dr Kelly W Ryder is licensed to practice in Mississippi (license number 22127) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083866651.

Contact Information

	Dr Kelly W Ryder, DO
	415 S 28th Ave, Hattiesburg, MS 39401-7246
	(601) 288-4329
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kelly W Ryder
Gender	Male
Speciality	Internal Medicine
Experience	19 Years
Location	415 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kelly W Ryder graduated from medical school in 2005

NPI Data:

NPI Number: 1083866651
Provider Enumeration Date: 10/15/2008
Last Update Date: 07/11/2019

Medicare PECOS Information:

PECOS PAC ID: 7719038512
Enrollment ID: I20221206002474

Medical Identifiers

Medical identifiers for Dr Kelly W Ryder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083866651	NPI	-	NPPES
302I116827	Other	MS	MEDICARE PTAN
6576308	Other	MS	CIGNA
9826619	Other	MS	AETNA
P01109812	Other	MS	RAILROAD MEDICARE
3226035	Other	MS	UNITED HEALTHCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	22127 (Mississippi)	Secondary
208M00000X	Hospitalist	2030 (Tennessee)	Secondary
207R00000X	Internal Medicine	22127 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pine Ridge Indian Health Service Hospital	4688571326	88

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. Dr Kelly W Ryder allows following entities to bill medicare on his behalf.

Entity Name	Pine Ridge Indian Health Service Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966

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. Dr Kelly W Ryder 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
Dr Kelly W Ryder, DO 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 288-4329	Dr Kelly W Ryder, DO 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 288-4329

Reviews and Comments

Internal Medicine Doctors in Hattiesburg, MS

Laurie Evans Douglas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-1700 Fax: 601-288-8290
Dr. Charles Ramsey Mccollum Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5650 Fax: 601-579-5212
Porter Hudson Glover, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5680 Fax: 601-268-5778
Alex Gauthier, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000
Grettel Rodriguez Garcia, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 31 Woodstone Dr, Hattiesburg, MS 39402 Phone: 347-342-2441
Ms. Manal Mohammad Abdur Rahman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Medical Blvd, Hattiesburg, MS 39401 Phone: 601-296-2990 Fax: 601-296-2860
Dr. Vashishtha Patel, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 704-733-7499

Dr Kelly W Ryder, DO - Medicare Internal Medicine in Hattiesburg, MS