| Julia E Riley, MD | |
|
1122 E Main St, Neshoba Pediatrics Suite 6, Philadelphia, MS 39350-2348 | |
| (601) 656-9900 | |
| Not Available |
| Full Name | Julia E Riley |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1122 E Main St, Philadelphia, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366541872 | NPI | - | NPPES |
| 8449601 | Medicaid | NJ | |
| 06033851 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 21727 (Mississippi) | Primary |
| Entity Name | Coastal Family Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629066782 PECOS PAC ID: 8628989654 Enrollment ID: O20040108000698 |
| Entity Name | Neshoba Physician Billing Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841404985 PECOS PAC ID: 4183518335 Enrollment ID: O20040210000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia E Riley, MD 1001 Holland Ave, Neshoba County General Hospital, Philadelphia, MS 39350-2161 Ph: (601) 656-9900 | Julia E Riley, MD 1122 E Main St, Neshoba Pediatrics Suite 6, Philadelphia, MS 39350-2348 Ph: (601) 656-9900 |
Giathinh Cat Ngo, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Holland Ave, Philadelphia, MS 39350 Phone: 601-663-3121 | |
Madison Hailey Flake, D.O Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 213 Hospital Rd E, Philadelphia, MS 39350 Phone: 601-663-1210 |