Riley Hackley, PA-C is a medicare enrolled "Physician Assistant" physician in Lebanon, Oregon. She graduated from medical school in 2024 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mid-valley Healthcare Inc and her current practice location is
425 N Santiam Hwy, Lebanon, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 451-6960.
Riley Hackley is licensed to practice in Oregon (license number PA222009) 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 1922825009.
Physician's Profile
| Full Name | Riley Hackley |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 425 N Santiam Hwy, Lebanon, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Riley Hackley graduated from medical school in 2024
NPI Data:
- NPI Number: 1922825009
- Provider Enumeration Date: 09/20/2024
- Last Update Date: 11/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991238289
- Enrollment ID: I20241024003151
Medical Identifiers
Medical identifiers for Riley Hackley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922825009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | PA222009 (Oregon) | Secondary |
| 363A00000X | Physician Assistant | PA222009 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mid-valley Healthcare Inc | 2769391523 | 110 |
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. Riley Hackley 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 |
|---|
Riley Hackley, PA-C
Po Box 1189,
Corvallis, OR 97339-1189
Ph: () - | Riley Hackley, PA-C
425 N Santiam Hwy,
Lebanon, OR 97355-4361
Ph: (541) 451-6960 |
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