Shannon Riley, MD in Memphis, TN - Medicare Pediatrics

Shannon Riley, MD is a medicare enrolled "Pediatrics" physician in Memphis, Tennessee. Her current practice location is 848 Adams Ave, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 287-6112.

Shannon Riley is licensed to practice in Tennessee (license number 56154) 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 1962820779.

Contact Information

	Shannon Riley, MD
	848 Adams Ave, Memphis, TN 38103-2816
	(901) 287-6112
	Not Available

Map and Direction

Physician's Profile

Full Name	Shannon Riley
Gender	Female
Speciality	Pediatrics
Location	848 Adams Ave, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962820779
Provider Enumeration Date: 03/31/2014
Last Update Date: 12/17/2021

Medicare PECOS Information:

PECOS PAC ID: 2163725763
Enrollment ID: I20210406001876

Medical Identifiers

Medical identifiers for Shannon Riley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962820779	NPI	-	NPPES
PENDING	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	56154 (Tennessee)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208000000X	Pediatrics	56154 (Tennessee)	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. Shannon Riley allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Shannon Riley 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
Shannon Riley, MD 2040 W Charleston Blvd Ste 402, Las Vegas, NV 89102-2250 Ph: () -	Shannon Riley, MD 848 Adams Ave, Memphis, TN 38103-2816 Ph: (901) 287-6112

Reviews and Comments

Pediatrics Doctors in Memphis, TN

Dr. Andrew Buchman Nearn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2861 Broad Ave, Memphis, TN 38112 Phone: 901-701-2520 Fax: 901-325-6469
Mimily Harsono, MD Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Tennessee (division Of Neonatology), 853 Jefferson Avenue, Suite-201, Newborn Center, Memphis, TN 38103 Phone: 901-448-5950 Fax: 901-448-1691
Mr. Alberto S. Pappo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-6765 Fax: 901-521-9005
Edson Ruiz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 420 Monroe Ave, Memphis, TN 38103 Phone: 832-774-3282
Dr. Darlene K Cash, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 N Humphreys Blvd, Memphis, TN 38120 Phone: 901-322-9080 Fax: 901-322-2994
Dr. Monika Metzger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl # Ms 515, C/o Dana Cannon, Memphis, TN 38105 Phone: 901-595-3006 Fax: 901-595-3842
Benjamin R Waller Iii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 51 N Dunlap St Fl 2, Memphis, TN 38105 Phone: 901-287-7337 Fax: 901-287-4646

Shannon Riley, MD - Medicare Pediatrics in Memphis, TN