Craig Michael Riley, MD - Medicare Pulmonary Disease in West Chester, PA

Craig Michael Riley, MD is a medicare enrolled "Internal Medicine" physician in West Chester, Pennsylvania. He went to University Of Pittsburgh School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Clinical Care Associates Of The University Of Pennsylvania Health and his current practice location is 701 E Marshall St, West Chester, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 431-5000.

Craig Michael Riley is licensed to practice in Pennsylvania (license number MD460581) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861734105.

Contact Information

Craig Michael Riley, MD
701 E Marshall St,
West Chester, PA 19380-4412
(610) 431-5000
(610) 431-5025

Map and Direction




Physician's Profile

Full NameCraig Michael Riley
GenderMale
SpecialityPulmonary Disease
Experience11 Years
Location701 E Marshall St, West Chester, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Craig Michael Riley attended and graduated from University Of Pittsburgh School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1861734105
  • Provider Enumeration Date: 03/25/2013
  • Last Update Date: 06/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4981926128
  • Enrollment ID: I20190320003382

Medical Identifiers

Medical identifiers for Craig Michael Riley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861734105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD460581 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chester County HospitalWest chester, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clinical Care Associates Of The University Of Pennsylvania Health4688588866507

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. Craig Michael Riley allows following entities to bill medicare on his behalf.
Entity NameClinical Care Associates Of The University Of Pennsylvania Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972682995
PECOS PAC ID: 4688588866
Enrollment ID: O20031113000301
Entity NameUpmc Community Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558976092
PECOS PAC ID: 2062318975
Enrollment ID: O20040217000388
Entity NameUniversity Of Pittsburgh Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619935004
PECOS PAC ID: 8729990239
Enrollment ID: O20040308000883

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. Craig Michael 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
Craig Michael Riley, MD
701 E Marshall St,
West Chester, PA 19380-4412

Ph: (610) 431-5000
Craig Michael Riley, MD
701 E Marshall St,
West Chester, PA 19380-4412

Ph: (610) 431-5000

Reviews and Comments


Internal Medicine Doctors in West Chester, PA

Dr. Amy Chang, M.D.
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Phone: 484-364-2824    Fax: 610-350-3099
Christopher L Baldi, DO
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Phone: 610-696-2850    Fax: 610-696-7159
Dr. Gary Richard Peters, M.D.
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Phone: 610-431-7430    
Mr. Vinod Kumar Kataria, M.D.
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Practice Location: 529 Maple Ave, West Chester, PA 19380
Phone: 610-344-7370    Fax: 610-344-7080
Dr. David E Bobman, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 915 Old Fern Hill Road, Building B Suite 300, West Chester, PA 19380
Phone: 610-431-3122    Fax: 610-431-4799
Dr. Andrew D Sitkoff, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 839 Lincoln Ave Ste A, West Chester, PA 19380
Phone: 610-241-3050    Fax: 610-241-3059
Cheryl A Johnson, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 440 E Marshall St, Ste 201, West Chester, PA 19380
Phone: 610-738-2500    Fax: 610-738-2540

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.