Madelyn Rose Riels, DO | |
1200 Celebrity Dr, Ruston, LA 71270-3893 | |
(318) 254-2113 | |
Not Available |
Full Name | Madelyn Rose Riels |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1200 Celebrity Dr, Ruston, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265060479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO5088 (Tennessee) | Primary |
Entity Name | Jackson Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285629386 PECOS PAC ID: 2668376872 Enrollment ID: O20040318000962 |
Mailing Address | Practice Location Address |
---|---|
Madelyn Rose Riels, DO 1200 Celebrity Dr, Ruston, LA 71270-3893 Ph: (318) 254-2113 | Madelyn Rose Riels, DO 1200 Celebrity Dr, Ruston, LA 71270-3893 Ph: (318) 254-2113 |
Dr. Allen J Herbert, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 411 E Vaughn Ave, Suite 203, Ruston, LA 71270 Phone: 318-255-7474 Fax: 318-425-2335 | |
Enaka Marie Yembe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 612 S. Farmerville Street, Ruston, LA 71270 Phone: 318-436-2600 Fax: 318-436-2601 | |
William P Sanders, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-1515 | |
Mr. Michael S Phillips, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 | |
Pamela R Hearn, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 765 S Bonner St, Ruston, LA 71270 Phone: 318-255-2733 Fax: 318-254-1066 | |
Mr. Dean Kirby, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-251-6216 |