Riley Charles, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Diamond Bar, California. His current practice location is
21015 Pathfinder Rd Ste 100, Diamond Bar, California. You can reach out to his office (for appointments etc.) via phone at
(909) 861-3511.
Riley Charles is licensed to practice in California (license number 305969) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053151456.
Physician's Profile
| Full Name | Riley Charles |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 21015 Pathfinder Rd Ste 100, Diamond Bar, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053151456
- Provider Enumeration Date: 05/31/2024
- Last Update Date: 05/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739621434
- Enrollment ID: I20240610002727
Medical Identifiers
Medical identifiers for Riley Charles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053151456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 305969 (California) | Primary |
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. Riley Charles allows following entities to bill medicare on his behalf.
| Entity Name | Pomona Valley Orthopedic And Sports Physical Therapy Inc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1255301461
PECOS PAC ID: 4284536814
Enrollment ID: O20090512000140 |
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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. Riley Charles 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 |
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Riley Charles, DPT
21015 Pathfinder Rd Ste 100,
Diamond Bar, CA 91765-4002
Ph: (909) 861-3511 | Riley Charles, DPT
21015 Pathfinder Rd Ste 100,
Diamond Bar, CA 91765-4002
Ph: (909) 861-3511 |
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