| Pamela Riley, NP | |
|
854 Mulberry Ave, Selmer, TN 38375-2334 | |
| (731) 646-1781 | |
| Not Available |
| Full Name | Pamela Riley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 854 Mulberry Ave, Selmer, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164807186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20168 (Tennessee) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 20168 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Medical Clinic Pllc | 5395881841 | 680 |
| Fast Pace Mississippi Pllc | 3678832029 | 170 |
| Fast Pace Medical Clinic Pllc | 5395881841 | 680 |
| Entity Name | Frix-jennings Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174749469 PECOS PAC ID: 7618934449 Enrollment ID: O20041214000383 |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Riley, NP 11100 Old Hwy 64, Bolivar, TN 38008 Ph: (731) 228-0657 | Pamela Riley, NP 854 Mulberry Ave, Selmer, TN 38375-2334 Ph: (731) 646-1781 |
Zipporah Woods, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 318 Hillcrest St, Selmer, TN 38375 Phone: 731-394-0555 | |
Matthew King, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 641 E Poplar Ave, Selmer, TN 38375 Phone: 731-645-5753 | |
Tiffany B Gray, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 E Court Ave Ste B, Selmer, TN 38375 Phone: 731-645-7932 Fax: 731-645-5195 | |
Lashon Conner, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 641 E Poplar Ave, Selmer, TN 38375 Phone: 731-645-5753 Fax: 731-645-9885 | |
Mrs. Ginger Maness, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1021 Mulberry Ave, Selmer, TN 38375 Phone: 731-646-1781 | |
Rhonda L Hunt, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 832 Mulberry Ave, Selmer, TN 38375 Phone: 731-434-0200 Fax: 731-434-0203 |