David A Riley, MD is a
Otolaryngology physician based in Bemidji, Minnesota. David A Riley is licensed to practice in Minnesota (license number 59006) and his current practice location is 1300 Anne St Nw, Bemidji, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 333-5000.
NPI number for David A Riley is 1649245838 and his current mailing address is Po Box 2010, Fargo, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649245838.
Physician's Profile
| Full Name | David A Riley |
|---|
| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 1300 Anne St Nw, Bemidji, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649245838
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 05/24/2019
Medical Identifiers
Medical identifiers for David A Riley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649245838 | NPI | - | NPPES |
| 8227415 | Medicaid | WA | |
| MD00030575 | Other | WA | WA STATE MEDICAL LICENSE |
| 122444 | Other | WA | STATE LABOR & INDUSTRIES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | MD00030575 (Washington) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | MD00030575 (Washington) | Secondary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | MD00030575 (Washington) | Secondary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | MD00030575 (Washington) | Secondary |
| 208600000X | Surgery | MD00030575 (Washington) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | MD00030575 (Washington) | Secondary |
| 2086X0206X | Surgery - Surgical Oncology | MD00030575 (Washington) | Secondary |
| 207Y00000X | Otolaryngology | 59006 (Minnesota) | 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. David A Riley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
David A Riley, MD
Po Box 2010,
Fargo, ND 58122-2484
Ph: () - | David A Riley, MD
1300 Anne St Nw,
Bemidji, MN 56601-5103
Ph: (218) 333-5000 |
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