David A Riley, MD - Medicare Otolaryngology in Bemidji, MN

David A Riley, MD is a medicare enrolled "Otolaryngology" physician in Bemidji, Minnesota. His current practice location is 1300 Anne St Nw, Bemidji, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 333-5000.

David A Riley is licensed to practice in Minnesota (license number 59006) 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 1649245838.

Contact Information

David A Riley, MD
1300 Anne St Nw,
Bemidji, MN 56601-5103
(218) 333-5000
Not Available



Physician's Profile

Full NameDavid A Riley
GenderMale
SpecialityOtolaryngology
Location1300 Anne St Nw, Bemidji, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649245838
  • Provider Enumeration Date: 02/21/2006
  • Last Update Date: 05/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5698899094
  • Enrollment ID: I20150325000907

Medical Identifiers

Medical identifiers for David A Riley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649245838NPI-NPPES
8227415MedicaidWA
MD00030575OtherWAWA STATE MEDICAL LICENSE
122444OtherWASTATE LABOR & INDUSTRIES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology MD00030575 (Washington)Secondary
207YS0123XOtolaryngology - Facial Plastic Surgery MD00030575 (Washington)Secondary
207YX0602XOtolaryngology - Otolaryngic Allergy MD00030575 (Washington)Secondary
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery MD00030575 (Washington)Secondary
208600000XSurgery MD00030575 (Washington)Secondary
2086S0122XSurgery - Plastic And Reconstructive Surgery MD00030575 (Washington)Secondary
2086X0206XSurgery - Surgical Oncology MD00030575 (Washington)Secondary
207Y00000XOtolaryngology 59006 (Minnesota)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. David A Riley allows following entities to bill medicare on his behalf.
Entity NameSanford Clinic North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548532468
PECOS PAC ID: 4284546151
Enrollment ID: O20031209000264

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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. David A Riley 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 AddressPractice Location Address
David A Riley, MD
Po Box 2010,
Fargo, ND 58122-2484

Ph: () -
David A Riley, MD
1300 Anne St Nw,
Bemidji, MN 56601-5103

Ph: (218) 333-5000

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Otolaryngology Doctors in Bemidji, MN


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