Ryan Craddock, DO is a medicare enrolled "Hospitalist" physician in Princeton, West Virginia. His current practice location is
122 12th St, Princeton, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 487-7047.
Ryan Craddock is licensed to practice in West Virginia (license number 3295) 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 1649666488.
Physician's Profile
| Full Name | Ryan Craddock |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 122 12th St, Princeton, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649666488
- Provider Enumeration Date: 04/08/2015
- Last Update Date: 11/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 3173869260
- Enrollment ID: I20190110001225
Medical Identifiers
Medical identifiers for Ryan Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649666488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 3295 (West Virginia) | Secondary |
| 208M00000X | Hospitalist | 3295 (West Virginia) | Primary |
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. Ryan Craddock 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 |
Ryan Craddock, DO 118 12th Street Ext, Princeton, WV 24740-2352 Ph: () - | Ryan Craddock, DO 122 12th St, Princeton, WV 24740 Ph: (304) 487-7047 |
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