| Dr Cory Riley, DNP-CRNA | |
|
39 Branch Creek Dr, Jackson, TN 38305-8590 | |
| (731) 571-5889 | |
| Not Available |
| Full Name | Dr Cory Riley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 39 Branch Creek Dr, Jackson, Tennessee |
| 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 |
|---|---|---|---|
| 1922731199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0000226738 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 32400 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Union City | Union city, TN | Hospital |
| Dyersburg Regional Medical Center | Dyersburg, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Union City Anesthesia Group | 2062577547 | 6 |
| Medical Center Anesthesia, Inc | 2769629187 | 108 |
| Kentenn Anesthesia | 4082878079 | 3 |
| Lauderdale Community Hospital Llc | 9830505023 | 9 |
| Entity Name | Union City Anesthesia Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144429358 PECOS PAC ID: 2062577547 Enrollment ID: O20090217000384 |
| Entity Name | Northstar Anesthesia Of Tennessee, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821390451 PECOS PAC ID: 6608058086 Enrollment ID: O20110307000153 |
| Entity Name | Kentenn Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346511011 PECOS PAC ID: 4082878079 Enrollment ID: O20120601000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cory Riley, DNP-CRNA 39 Branch Creek Dr, Jackson, TN 38305-8590 Ph: (731) 571-5889 | Dr Cory Riley, DNP-CRNA 39 Branch Creek Dr, Jackson, TN 38305-8590 Ph: (731) 571-5889 |
Robert Wallace, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 367 Hospital Blvd, Jackson, TN 38305 Phone: 731-661-2227 | |
Brendan Mckinney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075 | |
Ryan Shephard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075 | |
Daniel T Hurst, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-668-1853 Fax: 731-664-7731 | |
Pamela J Austin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-662-1853 Fax: 731-664-7731 | |
Jason L. Hooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Kenneth W Hutchinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17c Brentshire Square, Jackson, TN 38305 Phone: 731-664-1717 Fax: 731-664-7114 |