Richard Glen Stiles, MD in Conyers, GA

Richard Glen Stiles, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Conyers, Georgia. His current practice location is 1412 Milstead Ave Ne, Conyers, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 918-3000.

Richard Glen Stiles is licensed to practice in Georgia (license number 25675) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700864972.

Contact Information

	Richard Glen Stiles, MD
	1412 Milstead Ave Ne, Conyers, GA 30012-3877
	(770) 918-3000
	(678) 905-7053

Map and Direction

Physician's Profile

Full Name	Richard Glen Stiles
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1412 Milstead Ave Ne, Conyers, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700864972
Provider Enumeration Date: 01/06/2006
Last Update Date: 01/09/2019

Medicare PECOS Information:

PECOS PAC ID: 7012927403
Enrollment ID: I20060502000022

Medical Identifiers

Medical identifiers for Richard Glen Stiles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700864972	NPI	-	NPPES
000282444E	Medicaid	GA
000282444I	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	019834 (Tennessee)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	25675 (Georgia)	Primary

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. Richard Glen Stiles allows following entities to bill medicare on his behalf.

Entity Name	Diagnostic Imaging Specialists Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366424947 PECOS PAC ID: 8123012366 Enrollment ID: O20040412000946

Entity Name	Marietta Imaging, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598152902 PECOS PAC ID: 8729398623 Enrollment ID: O20151105000083

Entity Name	Synergy Radiology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558886341 PECOS PAC ID: 2668727744 Enrollment ID: O20180613001114

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. Richard Glen Stiles 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
Richard Glen Stiles, MD Po Box 200096, Cartersville, GA 30120-9002 Ph: (678) 905-7053	Richard Glen Stiles, MD 1412 Milstead Ave Ne, Conyers, GA 30012-3877 Ph: (770) 918-3000

Reviews and Comments

Radiology Doctors in Conyers, GA

Dr. Clifford N Grossman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000
Michelle A Ross, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000
Dr. Bradley Lloyd Fricke, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-607-7339 Fax: 770-607-0789
Dr. Ratna Sajja, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 1293 Wellbrook Cir Ne, Conyers, GA 30012 Phone: 770-922-2012 Fax: 770-922-8370
Mark Otto Bernardy, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1031 Jimson Dr Se, Conyers, GA 30013 Phone: 800-879-6274 Fax: 678-342-2547
Dr. Kristin H Lewis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-607-7339

Richard Glen Stiles, MD - Medicare Radiology in Conyers, GA