Mr Ricardo Raul Riesco, MD in Dalton, GA - Medicare Pediatrics

Mr Ricardo Raul Riesco, MD is a medicare enrolled "Pediatrics" physician in Dalton, Georgia. His current practice location is 1933 Shields Road, Dalton, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 278-6628.

Mr Ricardo Raul Riesco is licensed to practice in Georgia (license number 044069) 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 1063435550.

Contact Information

	Mr Ricardo Raul Riesco, MD
	1933 Shields Road, Dalton, GA 30720
	(706) 278-6628
	(706) 278-6650

Physician's Profile

Full Name	Mr Ricardo Raul Riesco
Gender	Male
Speciality	Pediatrics
Location	1933 Shields Road, Dalton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063435550
Provider Enumeration Date: 07/25/2006
Last Update Date: 11/29/2010

Medicare PECOS Information:

PECOS PAC ID: 1456510791
Enrollment ID: I20120306000985

Medical Identifiers

Medical identifiers for Mr Ricardo Raul Riesco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063435550	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	044069 (Georgia)	Primary

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. Mr Ricardo Raul Riesco 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
Mr Ricardo Raul Riesco, MD 1933 Shields Road, Dalton, GA 30720 Ph: (706) 278-6628	Mr Ricardo Raul Riesco, MD 1933 Shields Road, Dalton, GA 30720 Ph: (706) 278-6628

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Pediatrics Doctors in Dalton, GA

Susan Hartley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Broadrick Dr, Dalton, GA 30720 Phone: 706-279-1994 Fax: 706-279-9229
Mr. Ayodeji C Makinde, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1575 Chattanooga Ave, Ste 1, Dalton, GA 30721 Phone: 706-876-2130 Fax: 706-876-2168
Ayman M. Rifai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Broadrick Dr, Dalton, GA 30720 Phone: 706-279-1994 Fax: 706-279-9229
Dr. Rose C Augustine, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Broadrick Dr, Dalton, GA 30720 Phone: 706-279-1994 Fax: 706-279-9229
Dr. Travis Rod Carroll, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-264-1897
Dr. Merle E Milburn Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1575 Chattanooga Ave Ste 1, Dalton, GA 30720 Phone: 706-876-2130 Fax: 706-876-2168

Mr Ricardo Raul Riesco, MD - Medicare Pediatrics in Dalton, GA