Riverside Spine & Physical Medicine, Pc - Medicare in Clarksville, TN

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Riverside Spine & Physical Medicine, Pc is a medicare enrolled "Orthopaedic Surgery" provider in Clarksville, Tennessee. Their current practice location is 121 W Dunbar Cave Rd, Clarksville, Tennessee. You can reach out to their office (for appointments etc.) via phone at (931) 542-9420.

Riverside Spine & Physical Medicine, Pc is licensed to practice in Tennessee (license number MD28572) and it also participates in the medicare program. Riverside Spine & Physical Medicine, Pc 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 1720407570.

Contact Information

Riverside Spine & Physical Medicine, Pc
121 W Dunbar Cave Rd,
Clarksville, TN 37040-6037
(931) 542-9420
(931) 542-9422

Map and Direction




Healthcare Provider's Profile

Full NameRiverside Spine & Physical Medicine, Pc
TypeFacility
SpecialityOrthopaedic Surgery
Location121 W Dunbar Cave Rd, Clarksville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720407570
  • Provider Enumeration Date: 04/09/2014
  • Last Update Date: 04/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456575141
  • Enrollment ID: O20140619002243

Medical Identifiers

Medical identifiers for Riverside Spine & Physical Medicine, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720407570NPI-NPPES
1336490266OtherIL1336490266
1598899429OtherTN1598899429

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Secondary
207X00000XOrthopaedic Surgery MD28572 (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. Riverside Spine & Physical Medicine, Pc acts as a billing entity for following providers:
Provider NameDavid Mark Allen
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1598899429
PECOS PAC ID: 9638346737
Enrollment ID: I20120112000419
Provider NameAaron R Johnston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306074299
PECOS PAC ID: 9436373123
Enrollment ID: I20140619002307
Provider NameNicholas Basham
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1710301684
PECOS PAC ID: 1850517152
Enrollment ID: I20150416000578
Provider NameTyler J Jennings
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1336490366
PECOS PAC ID: 2668625757
Enrollment ID: I20150423002338
Provider NameMarcus Johnson Haynes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295061703
PECOS PAC ID: 5597804245
Enrollment ID: I20160321000334
Provider NameKathryn Dziwulski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043853872
PECOS PAC ID: 6002240801
Enrollment ID: I20210126003391
Provider NameAmanda Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932778420
PECOS PAC ID: 2961805809
Enrollment ID: I20210729001288
Provider NameCamilla D Covington
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083895171
PECOS PAC ID: 3476926536
Enrollment ID: I20230310001508
Provider NameJessie Leigh Stewart
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1558110239
PECOS PAC ID: 7113443979
Enrollment ID: I20250424003138

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. Riverside Spine & Physical Medicine, Pc 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 AddressPractice Location Address
Riverside Spine & Physical Medicine, Pc
121 W Dunbar Cave Rd,
Clarksville, TN 37040-6037

Ph: (931) 542-9420		Riverside Spine & Physical Medicine, Pc
121 W Dunbar Cave Rd,
Clarksville, TN 37040-6037

Ph: (931) 542-9420

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.