Kimberly Samantha Riley, RD is a medicare enrolled "Dietitian, Registered" provider in Parrish, Florida. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is
6146 100th Ave E, Parrish, Florida. You can reach out to her office (for appointments etc.) via phone at
(551) 265-8405.
Kimberly Samantha Riley is licensed to practice in Florida (license number ND 5730) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033153788.
Healthcare Provider's Profile
| Full Name | Kimberly Samantha Riley |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 26 Years |
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| Location | 6146 100th Ave E, Parrish, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kimberly Samantha Riley graduated from medical school in 1998
NPI Data:
- NPI Number: 1033153788
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 08/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 7810176146
- Enrollment ID: I20110119000583
Medical Identifiers
Medical identifiers for Kimberly Samantha Riley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033153788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | ND5730 (Florida) | Secondary |
| 133V00000X | Dietitian, Registered | ND 5730 (Florida) | 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. Kimberly Samantha Riley allows following entities to bill medicare on her behalf.
| Provider Name | Kim Riley Nutrition Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1538721121
PECOS PAC ID: 5193054286
Enrollment ID: O20190916002074 |
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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. Kimberly Samantha 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 Address | Practice Location Address |
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Kimberly Samantha Riley, RD
6146 100th Ave E,
Parrish, FL 34219-4557
Ph: (551) 265-8405 | Kimberly Samantha Riley, RD
6146 100th Ave E,
Parrish, FL 34219-4557
Ph: (551) 265-8405 |
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