Dr Paul David Rieselman, DC, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" provider in Lisle, Illinois. He graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Northstar Integrated Health And Physical Medicine Center Sc and his current practice location is
4513 Lincoln Ave, Suite 212, Lisle, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 795-1889.
Dr Paul David Rieselman is licensed to practice in Illinois (license number 209009686) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679654974.
Healthcare Provider's Profile
| Full Name | Dr Paul David Rieselman |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 4513 Lincoln Ave, Lisle, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Paul David Rieselman graduated from medical school in 2012
NPI Data:
- NPI Number: 1679654974
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 12/17/2012
Medicare PECOS Information:
- PECOS PAC ID: 5193624740
- Enrollment ID: I20130403000493
Medical Identifiers
Medical identifiers for Dr Paul David Rieselman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679654974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 038010007 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209009686 (Illinois) | Primary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | 209009686 (Illinois) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 209009686 (Illinois) | Secondary |
| 364SC2300X | Clinical Nurse Specialist - Chronic Care | 209009686 (Illinois) | Secondary |
| 364SH1100X | Clinical Nurse Specialist - Holistic | 209009686 (Illinois) | Secondary |
| 364SN0800X | Clinical Nurse Specialist - Neuroscience | 209009686 (Illinois) | Secondary |
| 364SX0106X | Clinical Nurse Specialist - Occupational Health | 209009686 (Illinois) | Secondary |
| 364SR0400X | Clinical Nurse Specialist - Rehabilitation | 209009686 (Illinois) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 209009686 (Illinois) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 209009686 (Illinois) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 209009686 (Illinois) | Secondary |
| 163WP0000X | Registered Nurse - Pain Management | 041384754 (Illinois) | Secondary |
| 171100000X | Acupuncturist | 038010007 (Illinois) | Secondary |
| 111NX0800X | Chiropractor - Orthopedic | 038010007 (Illinois) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northstar Integrated Health And Physical Medicine Center Sc | 0446495972 | 2 |
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. Dr Paul David Rieselman allows following entities to bill medicare on his behalf.
| Provider Name | Northstar Integrated Health & Physical Medicine Center Sc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073869574
PECOS PAC ID: 0446495972
Enrollment ID: O20130403000468 |
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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. Dr Paul David Rieselman 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 |
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Dr Paul David Rieselman, DC, FNP-BC
4513 Lincoln Ave, Suite 212,
Lisle, IL 60532-1289
Ph: (630) 795-1889 | Dr Paul David Rieselman, DC, FNP-BC
4513 Lincoln Ave, Suite 212,
Lisle, IL 60532-1289
Ph: (630) 795-1889 |
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