Dr Kim Marie Reilly, MD | |
1011 Rock Quarry Rd, Raleigh, NC 27610-3825 | |
(984) 464-6749 | |
Not Available |
Full Name | Dr Kim Marie Reilly |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1011 Rock Quarry Rd, Raleigh, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922083674 | NPI | - | NPPES |
1204464 | Other | OH | UHC PIN |
000000177532 | Other | OH | UNISON PIN |
0989499 | Other | OH | GROUP MEDICAID |
RE4028581 | Other | MEDICARE PTAN | |
000000185154 | Other | OH | ANTHEM PIN |
311413469053 | Other | OH | CARESOURCE PIN |
2189911 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35078399R (Ohio) | Secondary |
208000000X | Pediatrics | 2021-01611 (North Carolina) | Primary |
Entity Name | Advance Community Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245223783 PECOS PAC ID: 3577471697 Enrollment ID: O20040824000695 |
Entity Name | Advance Community Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952760290 PECOS PAC ID: 3577471697 Enrollment ID: O20210119000168 |
Mailing Address | Practice Location Address |
---|---|
Dr Kim Marie Reilly, MD 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 Ph: (984) 464-6749 | Dr Kim Marie Reilly, MD 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 Ph: (984) 464-6749 |
Sarah Owrey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Blue Ridge Rd, Suite 401, Raleigh, NC 27607 Phone: 919-781-7490 | |
Robert C Helms, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Falls Valley Drive, Raleigh, NC 27615 Phone: 919-872-0250 Fax: 919-848-3137 | |
Dr. Christina Marie Flannelly, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8300 Health Park Ste 213, Raleigh, NC 27615 Phone: 919-896-7066 Fax: 919-896-7067 | |
Jeff Lawrence Kantor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23 Sunnybrook Rd, Raleigh, NC 27610 Phone: 919-235-6435 | |
Dr. Delouis Terlonge Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3801 Computer Dr, Suite 200, Raleigh, NC 27609 Phone: 919-782-5273 Fax: 919-232-5551 | |
Larissa M. Saldana, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4551 New Bern Ave, Suite 160, Raleigh, NC 27610 Phone: 919-861-7793 Fax: 919-488-1458 | |
Dr. Bridget Mcnamara Degele, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607 Phone: 919-786-5001 Fax: 919-786-5051 |