Dr Eustace David Riley Iv, MD is a medicare enrolled "Family Medicine" physician in Hodges, South Carolina. He went to University Of Alabama School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Self Medical Group and his current practice location is
3410 Cokesbury Rd, Hodges, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 227-2099.
Dr Eustace David Riley Iv is licensed to practice in South Carolina (license number 16253) 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 1639163058.
Physician's Profile
Full Name | Dr Eustace David Riley Iv |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 33 Years |
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Location | 3410 Cokesbury Rd, Hodges, South Carolina |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Eustace David Riley Iv attended and graduated from University Of Alabama School Of Medicine in 1991
NPI Data:
- NPI Number: 1639163058
- Provider Enumeration Date: 08/31/2005
- Last Update Date: 12/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 6406041763
- Enrollment ID: I20101111001189
Medical Identifiers
Medical identifiers for Dr Eustace David Riley Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639163058 | NPI | - | NPPES |
L13901 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 16253 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Self Medical Group | 6002953916 | 326 |
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. Dr Eustace David Riley Iv allows following entities to bill medicare on his behalf.
Entity Name | Self Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
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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. Dr Eustace David Riley Iv 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 |
Dr Eustace David Riley Iv, MD 3410 Cokesbury Rd, Hodges, SC 29653-9181 Ph: (864) 227-2099 | Dr Eustace David Riley Iv, MD 3410 Cokesbury Rd, Hodges, SC 29653-9181 Ph: (864) 227-2099 |
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