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. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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
Location415 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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: I20090707000296

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

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 NameState Of Franklin Healthcare Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063459410
PECOS PAC ID: 2466346291
Enrollment ID: O20040211001101
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameLincoln Medical Center Hospitalist
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902048010
PECOS PAC ID: 4183773773
Enrollment ID: O20090605000402
Entity NameAtlantic Eel Inpatient Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629475124
PECOS PAC ID: 4486972734
Enrollment ID: O20150416001116

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
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
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
Dr. Kurt F. Bruckmeier, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Asbury Cir, Hattiesburg, MS 39402
Phone: 601-268-5200    Fax: 601-268-5211

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.