Dr Derek Riley, DO is a medicare enrolled "Orthopaedic Surgery" physician in Pulaski, Tennessee. He went to Edward Via Col Of Osteo Medicine-virginia Campus and graduated in 2008 and has 16 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Amg-hillside Llc, Santiam Memorial Hospital and his current practice location is
204 Hillside Dr, Pulaski, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 363-3514.
Dr Derek Riley is licensed to practice in Tennessee (license number 2628) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295042976.
Physician's Profile
| Full Name | Dr Derek Riley |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 16 Years |
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| Location | 204 Hillside Dr, Pulaski, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Derek Riley attended and graduated from Edward Via Col Of Osteo Medicine-virginia Campus in 2008
NPI Data:
- NPI Number: 1295042976
- Provider Enumeration Date: 09/02/2010
- Last Update Date: 04/21/2014
Medicare PECOS Information:
- PECOS PAC ID: 3971730466
- Enrollment ID: I20140904001737
Medical Identifiers
Medical identifiers for Dr Derek Riley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295042976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | OT012646 (Pennsylvania) | Secondary |
| 207X00000X | Orthopaedic Surgery | 2628 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Amg-hillside Llc | 9436240017 | 22 |
| Santiam Memorial Hospital | 6103729751 | 82 |
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 Derek Riley allows following entities to bill medicare on his behalf.
| Entity Name | Amg-hillside Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710105499
PECOS PAC ID: 9436240017
Enrollment ID: O20070810000665 |
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| Entity Name | Amg-crockett, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326550732
PECOS PAC ID: 4789770199
Enrollment ID: O20071017000313 |
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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 Derek Riley 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 Derek Riley, DO
204 Hillside Dr,
Pulaski, TN 38478-4566
Ph: (931) 363-3514 | Dr Derek Riley, DO
204 Hillside Dr,
Pulaski, TN 38478-4566
Ph: (931) 363-3514 |
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