| Michael Andrew Riley, MD | |
|
250 Mercy Dr, Dubuque, IA 52001-7320 | |
| (563) 589-8796 | |
| Not Available |
| Full Name | Michael Andrew Riley |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 250 Mercy Dr, Dubuque, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194799577 | NPI | - | NPPES |
| 34805600 | Medicaid | WI | |
| 04456 | Other | IA | BLUE CROSS BLUE SHIELD |
| 0478891 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 30736 (Iowa) | Primary |
| Entity Name | Mercy Radiologists Of Dubuque Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013968205 PECOS PAC ID: 9436049152 Enrollment ID: O20040317000659 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Andrew Riley, MD 250 Mercy Dr, Dubuque, IA 52001-7320 Ph: (563) 589-8796 | Michael Andrew Riley, MD 250 Mercy Dr, Dubuque, IA 52001-7320 Ph: (563) 589-8796 |
Dr. Edward James Hannon, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 350 N Grandview Ave, Dubuque, IA 52001 Phone: 563-582-1881 Fax: 563-589-2491 | |
John Daniel Engelken, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 250 Mercy Dr, Dubuque, IA 52001 Phone: 563-589-8796 Fax: 563-589-8776 | |
Thomas J Knudtson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Mercy Dr, Dubuque, IA 52001 Phone: 563-589-9040 | |
Loren G. Longenecker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Mercy Dr, Dubuque, IA 52001 Phone: 563-589-8000 | |
Michael Allen Fleege, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Mercy Dr, Dubuque, IA 52001 Phone: 563-589-8796 Fax: 563-589-8776 | |
Won Sam Yi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 350 N Grandview Ave, Dubuque, IA 52001 Phone: 563-556-3944 Fax: 563-594-5256 |