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

Dr Kelly W Ryder, DO is a medicare enrolled "Internal Medicine" physician in Hattiesburg, Mississippi. He graduated from medical school in 2005 and has 15 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Vicksburg Healthcare Llc 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 NameDr Kelly W Ryder
GenderMale
SpecialityInternal Medicine
Experience15 Years
Location415 S 28th Ave, Hattiesburg, Mississippi
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:
  • 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: I20120828000476

Medical Identifiers

Medical identifiers for Dr Kelly W Ryder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083866651NPI-NPPES
3226035OtherMSUNITED HEALTHCARE
6576308OtherMSCIGNA
P01109812OtherMSRAILROAD MEDICARE
9826619OtherMSAETNA
302I116827OtherMSMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 22127 (Mississippi)Primary
208M00000XHospitalist 2030 (Tennessee)Secondary
208M00000XHospitalist 22127 (Mississippi)Secondary

Hospital Affiliation

Hospital NameLocationType
Merit Health River RegionVicksburg, MSAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vicksburg Healthcare Llc46885751298

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 NameVicksburg Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629084058
PECOS PAC ID: 4688575129
Enrollment ID: O20040213000299
Entity NameWesley Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538200209
PECOS PAC ID: 2466559851
Enrollment ID: O20070518000496
Entity NameComprehensive Hospitalists Of Ms, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467856385
PECOS PAC ID: 6709101322
Enrollment ID: O20150202001604
Entity NameHancock Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750835385
PECOS PAC ID: 0749569697
Enrollment ID: O20161116001767

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 AddressPractice 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
Anutida Charoentong,
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4 Medical Blvd, Hattiesburg, MS 39401
Phone: 601-579-5444    Fax: 601-579-5107
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    
Ralph C Kahler, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-288-4329    
Grettel Rodriguez Garcia,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6414 Highway 98 W, Suite 120, Hattiesburg, MS 39402
Phone: 601-296-2833    Fax: 601-261-1156

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.