| James Rielly, | |
|
395 W Cougar Blvd Ste 503, Provo, UT 84604-3323 | |
| (801) 374-9100 | |
| (801) 374-9117 |
| Full Name | James Rielly |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 39 Years |
| Location | 395 W Cougar Blvd Ste 503, Provo, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386638005 | NPI | - | NPPES |
| 832193 | Medicaid | SC |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Medical Center Llc | Lafayette, CO | Hospital |
| St Francis Hospital & Medical Center | Hartford, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Medical Group Denver Llc | 0840513552 | 566 |
| Trinity Health Of New England Provider Network Organization Inc | 0941113567 | 628 |
| Intermountain Medical Group Grand Junction, Llc | 3779707856 | 296 |
| Entity Name | Intermountain Medical Group Grand Junction, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356765556 PECOS PAC ID: 3779707856 Enrollment ID: O20140611000363 |
| Mailing Address | Practice Location Address |
|---|---|
| James Rielly, Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | James Rielly, 395 W Cougar Blvd Ste 503, Provo, UT 84604-3323 Ph: (801) 374-9100 |
Richard M Thomas, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2547 N 1060 E, Provo, UT 84604 Phone: 801-360-7089 | |
Dr. Brian Craig Adams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 101, Provo, UT 84604 Phone: 801-374-9100 | |
Brian Gill, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3550 N. University Ave. #250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 | |
Dr. James M Clayton Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 280 River Park Dr, Ste 240, Provo, UT 84604 Phone: 801-375-4646 Fax: 801-375-1999 | |
James Robert Barrett, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3550 N University Ave Ste 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 | |
Dr. Todd B Engen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1735 N State St, Provo, UT 84604 Phone: 801-379-2900 Fax: 801-374-6295 | |
Lee M Peterson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3550 N University Ave, Suite 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 |