David A Riley, MD is a medicare enrolled "Otolaryngology" physician in Bemidji, Minnesota. His current practice location is
1300 Anne St Nw, Bemidji, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 333-5000.
David A Riley is licensed to practice in Minnesota (license number 59006) 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 1649245838.
Physician's Profile
| Full Name | David A Riley |
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| 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649245838
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 05/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 5698899094
- Enrollment ID: I20150325000907
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 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. David A Riley allows following entities to bill medicare on his behalf.
| Entity Name | Sanford Clinic North |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548532468
PECOS PAC ID: 4284546151
Enrollment ID: O20031209000264 |
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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. David A 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 |
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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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