Dr Ryan Michael Southard, MD in Conway, AR

Dr Ryan Michael Southard, MD is a medicare enrolled "Pediatrics" physician in Conway, Arkansas. His current practice location is 625 United Dr Ste 410, Conway, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 358-6892.

Dr Ryan Michael Southard is licensed to practice in Arkansas (license number E-12104) 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 1093178915.

Contact Information

	Dr Ryan Michael Southard, MD
	625 United Dr Ste 410, Conway, AR 72032-7826
	(501) 358-6892
	(501) 358-6894

Map and Direction

Physician's Profile

Full Name	Dr Ryan Michael Southard
Gender	Male
Speciality	Pediatrics
Location	625 United Dr Ste 410, Conway, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093178915
Provider Enumeration Date: 03/29/2016
Last Update Date: 09/22/2023

Medicare PECOS Information:

PECOS PAC ID: 0244522365
Enrollment ID: I20220601001399

Medical Identifiers

Medical identifiers for Dr Ryan Michael Southard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093178915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	E-12104 (Arkansas)	Primary
208000000X	Pediatrics	82349 (South Carolina)	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 Ryan Michael Southard allows following entities to bill medicare on his behalf.

Entity Name	Arkansas Health Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700311222 PECOS PAC ID: 7911802079 Enrollment ID: O20171017003695

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 Ryan Michael Southard 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
Dr Ryan Michael Southard, MD 625 United Dr Ste 410, Conway, AR 72032-7826 Ph: (501) 358-6892	Dr Ryan Michael Southard, MD 625 United Dr Ste 410, Conway, AR 72032-7826 Ph: (501) 358-6892

Reviews and Comments

Pediatrics Doctors in Conway, AR

Philip H Hopp, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2710 College Ave, Conway, AR 72034 Phone: 501-329-1800 Fax: 501-329-2507
Lisa J. Martin, APN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2505 College Ave, Conway, AR 72034 Phone: 501-327-6000 Fax: 501-450-7559
Sherrye Denise Craig, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Fountain Drive, Conway, AR 72034 Phone: 501-328-0055 Fax: 501-328-2194
Trent Elliott Adams, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2505 College Ave, Conway, AR 72034 Phone: 501-327-6000 Fax: 601-918-2086
Jeffrey Alan Craig, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Fountain Drive, Conway, AR 72034 Phone: 501-328-0055 Fax: 501-328-2194
Terence L Champlin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 605 Salem Rd, Suite B2, Conway, AR 72034 Phone: 501-327-2444 Fax: 501-327-2443

Dr Ryan Michael Southard, MD - Medicare Pediatrics in Conway, AR