Kelly M Riley Inc is a medicare enrolled "Optometrist" provider in Brownfield, Texas. Their current practice location is
801 E Tahoka Rd, Brownfield, Texas. You can reach out to their office (for appointments etc.) via phone at
(806) 637-3937.
Kelly M Riley Inc is licensed to practice in Texas (license number 6923TG) and it also participates in the medicare program. Kelly M Riley Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1659686335.
Healthcare Provider's Profile
| Full Name | Kelly M Riley Inc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 801 E Tahoka Rd, Brownfield, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659686335
- Provider Enumeration Date: 08/18/2010
- Last Update Date: 02/24/2012
Medicare PECOS Information:
- PECOS PAC ID: 8224154653
- Enrollment ID: O20100923000236
Medical Identifiers
Medical identifiers for Kelly M Riley Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659686335 | NPI | - | NPPES |
| 2163347-01 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 6923TG (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Kelly M Riley Inc acts as a billing entity for following providers:
| Provider Name | Kelly M Riley |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1548280365
PECOS PAC ID: 8527064310
Enrollment ID: I20061019000120 |
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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. Kelly M Riley Inc 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 |
|---|
Kelly M Riley Inc
801 E Tahoka Rd,
Brownfield, TX 79316-3635
Ph: (806) 637-3937 | Kelly M Riley Inc
801 E Tahoka Rd,
Brownfield, TX 79316-3635
Ph: (806) 637-3937 |
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