| Ryan Kevin Rider, MD | |
|
800 N Fant St, Anderson, SC 29621-5708 | |
| (864) 512-1335 | |
| (864) 512-8575 |
| Full Name | Ryan Kevin Rider |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 800 N Fant St, Anderson, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659337525 | NPI | - | NPPES |
| T37332 | Medicaid | SC | |
| 595784016A | Medicaid | GA | |
| P00177247 | Other | SC | RAILROAD MEDICARE |
| 5901116 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 19706 (South Carolina) | Primary |
| Entity Name | Anmed Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710918321 PECOS PAC ID: 1951215243 Enrollment ID: O20031119000738 |
| Entity Name | Ich Er Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174002059 PECOS PAC ID: 2860744331 Enrollment ID: O20181010003402 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Kevin Rider, MD 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6306 | Ryan Kevin Rider, MD 800 N Fant St, Anderson, SC 29621-5708 Ph: (864) 512-1335 |
James E. Reese, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 864-512-1335 | |
Michael Clarke, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 864-512-1000 | |
Dr. Kevin Matthew Summers, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 863-899-6081 | |
Dr. Zachary Hall Conn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 864-607-3835 | |
David Scott Turner, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 864-512-1335 | |
Joseph Daniel Cox, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 864-512-1000 | |
Anthony W. Rekito, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 864-512-1335 |