| Mr Michael Ryder, DO | |
|
1743 N Ocean Ave, Medford, NY 11763-2649 | |
| (631) 758-3100 | |
| (631) 758-3168 |
| Full Name | Mr Michael Ryder |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 1743 N Ocean Ave, Medford, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659598589 | NPI | - | NPPES |
| 02370125 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 222186 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Catholic Home Care | Farmingdale, NY | Home health agency |
| Kindred At Home (hauppauge) | Hauppauge, NY | Home health agency |
| Good Shepherd Hospice | Farmingdale, NY | Hospice |
| St Catherine Of Siena Hospital | Smithtown, NY | Hospital |
| St Charles Hospital | Port jefferson, NY | Hospital |
| Good Samaritan Hospital Medical Center | West islip, NY | Hospital |
| St Catherine Of Siena Nrsg And Rehab Care Center | Smithtown, NY | Nursing home |
| Smithtown Center For Rehabilitation & Nursing Care | Smithtown, NY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chs Physician Partners Pc | 7618955667 | 618 |
| Entity Name | Chs Physician Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124497771 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
| Entity Name | Healthsource Medical Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891028650 PECOS PAC ID: 1557495876 Enrollment ID: O20100821000005 |
| Entity Name | Healthsource Medical Services Medford, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821319575 PECOS PAC ID: 0143413344 Enrollment ID: O20101020000911 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Ryder, DO 1743 N Ocean Ave, Medford, NY 11763-2649 Ph: (631) 758-3100 | Mr Michael Ryder, DO 1743 N Ocean Ave, Medford, NY 11763-2649 Ph: (631) 758-3100 |
Dr. Kami Quinn Barry, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 76 Southaven Ave, Suite 4, Medford, NY 11763 Phone: 631-569-4055 Fax: 631-569-4056 |