Dr Edward Clark Riley Iii, DO | |
255 North 30th Street, Ivinson Memorial Hospital, Laramie, WY 82072 | |
(307) 742-2141 | |
Not Available |
Full Name | Dr Edward Clark Riley Iii |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 30 Years |
Location | 255 North 30th Street, Laramie, Wyoming |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902856719 | NPI | - | NPPES |
51045390 | Other | AL | BLUE CROSS BLUE SHIELD |
009917200 | Medicaid | AL | |
080155685 | Other | RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO624 (Alabama) | Secondary |
207P00000X | Emergency Medicine | 7932A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Corwin Med Ctr, Centura Health | Pueblo, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Concord Medical Group Of Texas Pllc | 7810117223 | 258 |
Entity Name | Rosebud Indian Health Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
Entity Name | Concord Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
Entity Name | Concord Medical Group Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward Clark Riley Iii, DO 255 North 30th Street, Ivinson Memorial Hospital, Laramie, WY 82072 Ph: (307) 742-2141 | Dr Edward Clark Riley Iii, DO 255 North 30th Street, Ivinson Memorial Hospital, Laramie, WY 82072 Ph: (307) 742-2141 |
Dr. Thane Michael Mains, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2514 Park Ave, Laramie, WY 82070 Phone: 307-742-9433 | |
Dr. Matthew Eric Boyer, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 E University Ave Dept 3414, Laramie, WY 82071 Phone: 307-766-5071 Fax: 307-766-2112 |