Riley Hackley, PA-C is a medicare enrolled "Physician Assistant" physician in Lebanon, Oregon. Her current practice location is
425 N Santiam Hwy, Lebanon, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 451-6960.
Riley Hackley is licensed to practice in Oregon (license number PA222009) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922825009.
Physician's Profile
Full Name | Riley Hackley |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 425 N Santiam Hwy, Lebanon, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922825009
- Provider Enumeration Date: 09/20/2024
- Last Update Date: 11/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991238289
- Enrollment ID: I20241024003151
Medical Identifiers
Medical identifiers for Riley Hackley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922825009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | PA222009 (Oregon) | Secondary |
363A00000X | Physician Assistant | PA222009 (Oregon) | Primary |
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 Hackley 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 |
Riley Hackley, PA-C Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Riley Hackley, PA-C 425 N Santiam Hwy, Lebanon, OR 97355-4361 Ph: (541) 451-6960 |
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