Elly K Riley, DO - Medicare Family Practice in Jackson, TN

Elly K Riley, DO is a medicare enrolled "Family Medicine" physician in Jackson, Tennessee. She went to Kansas City College Of Medicine And Surgery and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Baptist Memorial Hospital-huntingdon and her current practice location is 294 Summar Dr, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 423-1932.

Elly K Riley is licensed to practice in Tennessee (license number DO0000002406) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063649408.

Contact Information

Elly K Riley, DO
294 Summar Dr,
Jackson, TN 38301-3915
(731) 423-1932
Not Available

Map and Direction




Physician's Profile

Full NameElly K Riley
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location294 Summar Dr, Jackson, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elly K Riley attended and graduated from Kansas City College Of Medicine And Surgery in 2009
  NPI Data:
  • NPI Number: 1063649408
  • Provider Enumeration Date: 06/12/2009
  • Last Update Date: 10/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517116528
  • Enrollment ID: I20121008000569

Medical Identifiers

Medical identifiers for Elly K Riley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063649408NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO0000002406 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Memorial Hospital-huntingdon408250975712

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. Elly K Riley allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Tennessee
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780686436
PECOS PAC ID: 3072421213
Enrollment ID: O20031119000671
Entity NameBaptist Memorial Hospital-huntingdon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184114902
PECOS PAC ID: 4082509757
Enrollment ID: O20180927003364

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. Elly K 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 AddressPractice Location Address
Elly K Riley, DO
294 Summar Dr,
Jackson, TN 38301-3915

Ph: (731) 423-1932
Elly K Riley, DO
294 Summar Dr,
Jackson, TN 38301-3915

Ph: (731) 423-1932

Reviews and Comments


Family Medicine Doctors in Jackson, TN

Parker Panovec, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2859 Highway 45 Byp, Jackson, TN 38305
Phone: 731-660-8360    Fax: 731-664-7928
Michael James Martin, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 294 Summar Dr, Jackson, TN 38301
Phone: 731-423-1932    Fax: 731-410-0367
Melissa A Robbins, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 294 Summar Drive, Jackson, TN 38301
Phone: 731-423-1932    Fax: 731-423-4919
Dr. Ezekiel Oladejo Adetunji, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 150 Murray Guard Dr, Jackson, TN 38305
Phone: 731-300-3168    Fax: 731-300-3169
Kenneth R. Warren, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 31 Physicians Dr, Suite 1, Jackson, TN 38305
Phone: 731-664-0103    Fax: 731-664-5666
Anna Elizabeth Glass Burgess, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305
Phone: 731-664-1375    Fax: 731-664-1378
Christopher Reyes Caangay, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 294 Summar Dr, Jackson, TN 38301
Phone: 731-541-3755    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.