| Riley Daniel Little, | |
|
212 Russell Blvd, Nacogdoches, TX 75965-1237 | |
| (936) 569-9239 | |
| Not Available |
| Full Name | Riley Daniel Little |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 212 Russell Blvd, Nacogdoches, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588292569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | LL84343 (South Carolina) | Primary |
| Entity Name | Mcleod Regional Medical Center Of The Pee Dee, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427004738 PECOS PAC ID: 7416851852 Enrollment ID: O20040630000125 |
| Entity Name | Colonial Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518074640 PECOS PAC ID: 9931017118 Enrollment ID: O20040727000107 |
| Entity Name | Mcleod Health Cheraw |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275912974 PECOS PAC ID: 7911228259 Enrollment ID: O20151218002079 |
| Entity Name | Mcleod Health Clarendon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508218793 PECOS PAC ID: 0840582656 Enrollment ID: O20160915000930 |
| Mailing Address | Practice Location Address |
|---|---|
| Riley Daniel Little, 212 Russell Blvd, Nacogdoches, TX 75965-1237 Ph: (936) 305-3700 | Riley Daniel Little, 212 Russell Blvd, Nacogdoches, TX 75965-1237 Ph: (936) 569-9239 |
Rachel L Cline, Family Medicine Medicare: Medicare Enrolled Practice Location: 3900 Ne Stallings Dr Ste 101, Nacogdoches, TX 75965 Phone: 936-559-8770 Fax: 936-559-8773 | |
Dr. Laxman R Kalvakuntla, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 63 Waterford Dr, Nacogdoches, TX 75965 Phone: 936-645-1044 Fax: 936-205-1328 | |
Eric A Cline, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4800a Ne Stallings Dr, Ste 1100, Nacogdoches, TX 75965 Phone: 936-800-1550 Fax: 844-689-3491 | |
Mrs. Chelsea Durapau Bertrand, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1023 N Mound St, Nacogdoches, TX 75961 Phone: 936-585-4646 | |
Dr. William Wayne Hairston, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1002 N Mound St, Nacogdoches, TX 75961 Phone: 936-560-3800 Fax: 936-560-0102 | |
Bryan W Davis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 129 Creekbend Blvd, Nacogdoches, TX 75965 Phone: 936-205-5949 Fax: 936-205-5953 | |
Dr. Carl Alexander Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 613 Russell Blvd, Nacogdoches, TX 75965 Phone: 936-305-4155 Fax: 936-305-4156 |