Richard Glen Stiles, MD - Medicare Radiology in Conyers, GA

Richard Glen Stiles, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Conyers, Georgia. His current practice location is 1412 Milstead Ave Ne, Conyers, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 918-3000.

Richard Glen Stiles is licensed to practice in Georgia (license number 25675) 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 1700864972.

Contact Information

Richard Glen Stiles, MD
1412 Milstead Ave Ne,
Conyers, GA 30012-3877
(770) 918-3000
(678) 905-7053



Physician's Profile

Full NameRichard Glen Stiles
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location1412 Milstead Ave Ne, Conyers, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700864972
  • Provider Enumeration Date: 01/06/2006
  • Last Update Date: 01/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7012927403
  • Enrollment ID: I20060502000022

Medical Identifiers

Medical identifiers for Richard Glen Stiles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700864972NPI-NPPES
000282444EMedicaidGA
000282444IMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 019834 (Tennessee)Secondary
2085R0202XRadiology - Diagnostic Radiology 25675 (Georgia)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. Richard Glen Stiles allows following entities to bill medicare on his behalf.
Entity NameDiagnostic Imaging Specialists Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366424947
PECOS PAC ID: 8123012366
Enrollment ID: O20040412000946

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Entity NameMarietta Imaging, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598152902
PECOS PAC ID: 8729398623
Enrollment ID: O20151105000083

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Entity NameSynergy Radiology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558886341
PECOS PAC ID: 2668727744
Enrollment ID: O20180613001114

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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. Richard Glen Stiles 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
Richard Glen Stiles, MD
Po Box 200096,
Cartersville, GA 30120-9002

Ph: (678) 905-7053
Richard Glen Stiles, MD
1412 Milstead Ave Ne,
Conyers, GA 30012-3877

Ph: (770) 918-3000

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› Verified 5 days ago


Radiology Doctors in Conyers, GA

Dr. Clifford N Grossman, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-918-3000    
Michelle A Ross, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-918-3000    
Dr. Bradley Lloyd Fricke, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-607-7339    Fax: 770-607-0789
Dr. Ratna Sajja, MD
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 1293 Wellbrook Cir Ne, Conyers, GA 30012
Phone: 770-922-2012    Fax: 770-922-8370
Mark Otto Bernardy, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1031 Jimson Dr Se, Conyers, GA 30013
Phone: 800-879-6274    Fax: 678-342-2547
Dr. Kristin H Lewis, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-607-7339    

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