Ryan Diederich, MD - Medicare Plastic And Reconstructive Surgery in Glen Carbon, IL

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Ryan Diederich, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Glen Carbon, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. His current practice location is 4955 S State Route 159 Ste 1, Glen Carbon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 288-7855.

Ryan Diederich is licensed to practice in Illinois (license number 125-050203) 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 1942422498.

Contact Information

Ryan Diederich, MD
4955 S State Route 159 Ste 1,
Glen Carbon, IL 62034-1907
(618) 288-7855
(618) 288-7866

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Physician's Profile

Full NameRyan Diederich
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience19 Years
Location4955 S State Route 159 Ste 1, Glen Carbon, Illinois
Accepts Medicare AssignmentsYes. 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 Diederich attended and graduated from Southern Illinois University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1942422498
  • Provider Enumeration Date: 05/03/2007
  • Last Update Date: 08/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2163693094
  • Enrollment ID: I20110926000043

Medical Identifiers

Medical identifiers for Ryan Diederich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942422498NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 125-050203 (Illinois)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. Ryan Diederich allows following entities to bill medicare on his behalf.
Entity NameRyan S Diederich Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639817182
PECOS PAC ID: 9234513458
Enrollment ID: O20220907000608

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 Diederich 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 AddressPractice Location Address
Ryan Diederich, MD
4955 S State Route 159 Ste 1,
Glen Carbon, IL 62034-1907

Ph: (618) 288-7855		Ryan Diederich, MD
4955 S State Route 159 Ste 1,
Glen Carbon, IL 62034-1907

Ph: (618) 288-7855

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Surgery Doctors in Glen Carbon, IL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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