Dr Lycia Ryder, DO is a medicare enrolled "Pediatrics" physician in Islip Terrace, New York. Her current practice location is
2701 Sunrise Hwy, Islip Terrace, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 638-2375.
Dr Lycia Ryder is licensed to practice in New York (license number 231408) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326051566.
Physician's Profile
| Full Name | Dr Lycia Ryder |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 2701 Sunrise Hwy, Islip Terrace, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326051566
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 04/27/2015
Medicare PECOS Information:
- PECOS PAC ID: 8224036785
- Enrollment ID: I20061116000146
Medical Identifiers
Medical identifiers for Dr Lycia Ryder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326051566 | NPI | - | NPPES |
| 643Z81 | Other | NY | EMPIRE BC.BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 231408 (New York) | 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. Dr Lycia Ryder allows following entities to bill medicare on her behalf.
| Entity Name | Stony Brook Children's Service, University Faculty Practice Corporatio |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083660575
PECOS PAC ID: 8921993551
Enrollment ID: O20040220000822 |
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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. Dr Lycia 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 Address | Practice Location Address |
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Dr Lycia Ryder, DO
Po Box 1559,
Stony Brook, NY 11790-0989
Ph: (631) 444-0650 | Dr Lycia Ryder, DO
2701 Sunrise Hwy,
Islip Terrace, NY 11752-2642
Ph: (631) 638-2375 |
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