Mary Riley, in Roanoke, VA - Medicare Nurse Practitioner

Mary Riley, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Roanoke, Virginia. Her current practice location is 4348 Electric Rd, Roanoke, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 769-0976.

Mary Riley is licensed to practice in Virginia (license number 0024175894) 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 1649722562.

Contact Information

	Mary Riley,
	4348 Electric Rd, Roanoke, VA 24018-0720
	(540) 769-0976
	(540) 857-5386

Map and Direction

Provider's Profile

Full Name	Mary Riley
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	4348 Electric Rd, Roanoke, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649722562
Provider Enumeration Date: 10/26/2016
Last Update Date: 11/05/2021

Medicare PECOS Information:

PECOS PAC ID: 1557624293
Enrollment ID: I20180411002301

Medical Identifiers

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

Identifier	Type	State	Issuer
1649722562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	R218970 (Maryland)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	0024175894 (Virginia)	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. Mary Riley allows following entities to bill medicare on her behalf.

Entity Name	Carilion Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472

Entity Name	Carilion Giles Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20070516000487

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. Mary 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
Mary Riley, 1030 S Jefferson St Ste 201, Roanoke, VA 24016-4418 Ph: (540) 224-4520	Mary Riley, 4348 Electric Rd, Roanoke, VA 24018-0720 Ph: (540) 769-0976

Reviews and Comments

Nurse Practitioner Nurses in Roanoke, VA

Catherine Campbell Parker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3716 Melrose Ave Nw, Roanoke, VA 24017 Phone: 540-362-0360
Mrs. Modupe Oluwaseyi Jolaoso White, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212
Ashlyn Brooke Conrad, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000
Brandlene Leigh Ratcliffe, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5372 Fallowater Ln, Roanoke, VA 24018 Phone: 540-283-6000
Victoria Shelly, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6415 Peters Creek Rd, Roanoke, VA 24019 Phone: 540-265-5500
Beverly Ann Jones, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014 Phone: 540-853-0100 Fax: 540-342-9308
Rosemary Anne Zaucha, MSN, MA, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-981-8429

Mary Riley, - Medicare Nurse Practitioner in Roanoke, VA