| Mrs Caroline M Riley, MS, CCC-SLP | |
|
113 Main Street, Kimberly, ID 83341 | |
| (208) 421-9659 | |
| (208) 268-3878 |
| Full Name | Mrs Caroline M Riley |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 113 Main Street, Kimberly, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386269983 | NPI | - | NPPES |
| 201830028 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP-4298 (Idaho) | Primary |
| Provider Name | Makona Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013592575 PECOS PAC ID: 7810399755 Enrollment ID: O20210714001838 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Caroline M Riley, MS, CCC-SLP 225 Main St N Unit 182, Kimberly, ID 83341-7008 Ph: (208) 421-9659 | Mrs Caroline M Riley, MS, CCC-SLP 113 Main Street, Kimberly, ID 83341 Ph: (208) 421-9659 |
Makona Therapy Services, Llc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 113 Main Street N, Kimberly, ID 83341 Phone: 208-421-9659 Fax: 208-268-3878 | |
Mrs. Hollie Jo Hieb, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1521 Dixon Trl, Kimberly, ID 83341 Phone: 208-749-0140 | |
Jeremy Daniel Chatterton, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3483 E 3195 N, Kimberly, ID 83341 Phone: 208-751-5308 | |
Mrs. Susan Kathryn Rauma, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3378 N 3300 E, Kimberly, ID 83341 Phone: 760-900-9280 | |
Mrs. Sara Raeli Prescott, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 113 Main St N, Unit 182, Kimberly, ID 83341 Phone: 208-904-3500 Fax: 208-268-3878 | |
Chattertown Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3483 E 3195 N, Kimberly, ID 83341 Phone: 208-751-5308 |