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

Ryan Diederich, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Maryville, 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. He is a member of the group practice Ryan S Diederich Md Pc and his current practice location is 6812 State Route 162, Maryville, 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
	6812 State Route 162, Maryville, IL 62062-8553
	(618) 288-7855
	(618) 288-7866

Map and Direction

Physician's Profile

Full Name	Ryan Diederich
Gender	Male
Speciality	Plastic And Reconstructive Surgery
Experience	19 Years
Location	6812 State Route 162, Maryville, Illinois
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 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: 01/16/2013

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.

Identifier	Type	State	Issuer
1942422498	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0122X	Surgery - Plastic And Reconstructive Surgery	125-050203 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Anderson Hospital	Maryville, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ryan S Diederich Md Pc	9234513458	2

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 Name	Ryan S Diederich Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice Location Address
Ryan Diederich, MD 6810 State Route 162, Box 215, Maryville, IL 62062-8501 Ph: (618) 391-6405	Ryan Diederich, MD 6812 State Route 162, Maryville, IL 62062-8553 Ph: (618) 288-7855

Reviews and Comments

Surgery Doctors in Maryville, IL

Dr. Richard Henry Wikiera, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 100, Maryville, IL 62062 Phone: 618-288-3616 Fax: 618-288-3647
Charles A. Lane, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 100, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-3647
Dr. Morris A Kugler, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2227 Vadalabene Dr, Ste 300, Maryville, IL 62062 Phone: 618-288-7485 Fax: 618-288-9086
Scott Wong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 100, Maryville, IL 62062 Phone: 618-288-3616 Fax: 618-288-3647
Dr. Pei Chang Chung, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 100, Maryville, IL 62062 Phone: 618-288-3616 Fax: 618-288-3647
Dr. Daniel Steven Johnson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 100, Maryville, IL 62062 Phone: 618-288-3616 Fax: 618-288-3647

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