Ryan Craddock, DO is a medicare enrolled "Hospitalist" physician in Princeton, West Virginia. He went to West Virginia School Of Osteopathic Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Princeton Community Hospital Assn. Inc. and his current practice location is
122 12th St, Princeton, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 487-7047.
Ryan Craddock is licensed to practice in West Virginia (license number 3295) 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 1649666488.
Physician's Profile
Full Name | Ryan Craddock |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 9 Years |
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Location | 122 12th St, Princeton, West Virginia |
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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:
- Ryan Craddock attended and graduated from West Virginia School Of Osteopathic Medicine in 2015
NPI Data:
- NPI Number: 1649666488
- Provider Enumeration Date: 04/08/2015
- Last Update Date: 11/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 3173869260
- Enrollment ID: I20190110001225
Medical Identifiers
Medical identifiers for Ryan Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649666488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 3295 (West Virginia) | Secondary |
208M00000X | Hospitalist | 3295 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Princeton Community Hospital Assn. Inc. | 3678482221 | 138 |
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. Ryan Craddock allows following entities to bill medicare on his behalf.
Entity Name | Princeton Community Hospital Assn. Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093917643 PECOS PAC ID: 3678482221 Enrollment ID: O20031211000436 |
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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. Ryan Craddock 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 |
Ryan Craddock, DO 118 12th Street Ext, Princeton, WV 24740-2352 Ph: () - | Ryan Craddock, DO 122 12th St, Princeton, WV 24740 Ph: (304) 487-7047 |
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