James Rielly, | |
395 W Cougar Blvd Ste 503, Provo, UT 84604-3323 | |
(801) 374-9100 | |
(801) 374-9117 |
Full Name | James Rielly |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 37 Years |
Location | 395 W Cougar Blvd Ste 503, Provo, Utah |
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 |
---|---|---|---|
1386638005 | NPI | - | NPPES |
832193 | Medicaid | SC |
Facility Name | Location | Facility Type |
---|---|---|
St Francis Hospital & Medical Center | Hartford, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pinnacle Health Cardiovascular Institute Inc | 6901087006 | 109 |
Trinity Health Of New England Provider Network Organization Inc | 0941113567 | 613 |
Entity Name | Wellspan Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Entity Name | Pinnacle Health Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
Entity Name | Pinnacle Health Cardiovascular Institute Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952603342 PECOS PAC ID: 6901087006 Enrollment ID: O20110223000139 |
Entity Name | Pinnacle Health Regional Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013441690 PECOS PAC ID: 7416228358 Enrollment ID: O20170810001731 |
Mailing Address | Practice Location Address |
---|---|
James Rielly, Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | James Rielly, 395 W Cougar Blvd Ste 503, Provo, UT 84604-3323 Ph: (801) 374-9100 |
Dr. John Emil Wennergren, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3550 N University Ave Ste 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9625 | |
Spencer Larson Hill, DO Surgery Medicare: Medicare Enrolled Practice Location: 3550 N University Ave Ste 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 | |
Brian Gill, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3550 N. University Ave. #250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 | |
Dr. James M Clayton Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 280 River Park Dr, Ste 240, Provo, UT 84604 Phone: 801-375-4646 Fax: 801-375-1999 | |
James Robert Barrett, MD Surgery Medicare: Medicare Enrolled Practice Location: 3550 N University Ave Ste 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 | |
Dr. Todd B Engen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1735 N State St, Provo, UT 84604 Phone: 801-379-2900 Fax: 801-374-6295 | |
Lee M Peterson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3550 N University Ave, Suite 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 |