Dr Kenneth D Riley, DO is a medicare enrolled "Family Medicine" physician in Canajoharie, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Bassett Healthcare and his current practice location is
50 Montgomery St, Canajoharie, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 673-5555.
Dr Kenneth D Riley is licensed to practice in New York (license number 182664) 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 1750332805.
Physician's Profile
| Full Name | Dr Kenneth D Riley |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 35 Years |
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| Location | 50 Montgomery St, Canajoharie, New York |
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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 Kenneth D Riley attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1989
NPI Data:
- NPI Number: 1750332805
- Provider Enumeration Date: 05/13/2006
- Last Update Date: 03/28/2008
Medicare PECOS Information:
- PECOS PAC ID: 6204988603
- Enrollment ID: I20090716000002
Medical Identifiers
Medical identifiers for Dr Kenneth D Riley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750332805 | NPI | - | NPPES |
| 02073169 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 182664 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bassett Healthcare | 3779488325 | 641 |
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 Kenneth D Riley allows following entities to bill medicare on his behalf.
| Entity Name | Mary Imogene Bassett Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083664221
PECOS PAC ID: 3779488325
Enrollment ID: O20031205000553 |
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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 Kenneth D 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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Dr Kenneth D Riley, DO
Po Box 725,
Cooperstown, NY 13326-0725
Ph: (518) 673-5555 | Dr Kenneth D Riley, DO
50 Montgomery St,
Canajoharie, NY 13317
Ph: (518) 673-5555 |
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