| Patrick L Riley, MD | |
|
119 Gas Plant Road, Rea Clinic Duquoin, Duquoin, IL 62832 | |
| (618) 542-8702 | |
| (618) 542-8792 |
| Full Name | Patrick L Riley |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 119 Gas Plant Road, Duquoin, Illinois |
| 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 |
|---|---|---|---|
| 1730133505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036115579 (Illinois) | Primary |
| 207V00000X | Obstetrics & Gynecology | 036115579 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Crossroads Community Hospital | Mount vernon, IL | Hospital |
| Franklin Hospital | Benton, IL | Hospital |
| Harrisburg Medical Center | Harrisburg, IL | Hospital |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Statera Health Care Llc | 0244565729 | 34 |
| Trinity Medical Staffing Llc | 1759712698 | 24 |
| Franklin Hospital District | 4082516042 | 30 |
| Integritas Emergency Physician Services Llc | 7113167446 | 28 |
| Entity Name | Franklin Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255369427 PECOS PAC ID: 4082516042 Enrollment ID: O20040121001102 |
| Entity Name | Marshall Browning Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821099441 PECOS PAC ID: 9335049980 Enrollment ID: O20040226000868 |
| Entity Name | Morrison Community Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700907250 PECOS PAC ID: 2466349907 Enrollment ID: O20040301000685 |
| Entity Name | Morrison Community Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184844938 PECOS PAC ID: 2466349907 Enrollment ID: O20080716000761 |
| Entity Name | Integritas Emergency Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
| Entity Name | Granite City Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669926424 PECOS PAC ID: 8527356591 Enrollment ID: O20161006000282 |
| Entity Name | Statera Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
| Entity Name | Trinity Medical Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770103426 PECOS PAC ID: 1759712698 Enrollment ID: O20200511000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick L Riley, MD Po Box 155, Christopher Rural Health Planning Corporation, Christopher, IL 62822 Ph: (618) 724-2401 | Patrick L Riley, MD 119 Gas Plant Road, Rea Clinic Duquoin, Duquoin, IL 62832 Ph: (618) 542-8702 |