Michael A Riel, DO | |
1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | |
(240) 612-1560 | |
Not Available |
Full Name | Michael A Riel |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 1060 W Perimeter Rd, Jb Andrews, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568413987 | NPI | - | NPPES |
1568413987 | Medicaid | VA | |
G36606 | Medicaid | SC | |
P00691783 | Other | SC | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 00969 (South Carolina) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 0102202378 (Virginia) | Primary |
Entity Name | Kershaw Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033593454 PECOS PAC ID: 6608176987 Enrollment ID: O20151119000104 |
Mailing Address | Practice Location Address |
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Michael A Riel, DO 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: (240) 612-1560 | Michael A Riel, DO 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: (240) 612-1560 |
Samuel L Weiss, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 250-612-1284 | |
Dr. Wilfredo Javier Nieves, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1050 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-257-8666 | |
Kallyn Dorothy Harencak, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 024-045-8652 | |
Dr. Charles W Borders Iii, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-612-1610 | |
Sonia Iqbal, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-612-1155 | |
Jordan C Hibbard, Gastroenterology Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-612-1384 |