| Dr Matthew Risendal, DO | |
|
70 Medical Center Cir Ste 208, Fishersville, VA 22939-2273 | |
| (540) 332-5926 | |
| (540) 332-5930 |
| Full Name | Dr Matthew Risendal |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 9 Years |
| Location | 70 Medical Center Cir Ste 208, Fishersville, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669904488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 132544 (Montana) | Secondary |
| 208800000X | Urology | 0102207053 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Logan Health Medical Center | Kalispell, MT | Hospital |
| Logan Health - Whitefish | Whitefish, MT | Hospital |
| Augusta Health | Fishersville, VA | Hospital |
| Cabinet Peaks Medical Center | Libby, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kalispell Regional Medical Center Inc | 5294644381 | 422 |
| Entity Name | Kalispell Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417945627 PECOS PAC ID: 5294644381 Enrollment ID: O20031122000142 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Risendal, DO Po Box 8310, Roanoke, VA 24014-0310 Ph: (540) 345-3556 | Dr Matthew Risendal, DO 70 Medical Center Cir Ste 208, Fishersville, VA 22939-2273 Ph: (540) 332-5926 |
Carie Daniel Buckley Iii, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 70 Medical Center Cir, Suite 208, Fishersville, VA 22939 Phone: 540-332-5926 Fax: 540-332-5930 |
Stephen Earl Schmitz, M.D Urology Medicare: Not Enrolled in Medicare Practice Location: 70 Medical Center Cir Ste 208, Fishersville, VA 22939 Phone: 540-932-5926 |
Phillips Respess Bryan Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 70 Medical Center Cir, Suite 208, Fishersville, VA 22939 Phone: 540-332-5926 Fax: 540-332-5930 |
William Rowland Jones Iii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 70 Medical Center Cir, Suite 208, Fishersville, VA 22939 Phone: 540-332-5926 Fax: 540-332-5930 |
Dr. Sam D. Graham, M.D. Urology Medicare: Medicare Enrolled Practice Location: 70 Medical Center Cir Ste 208, Fishersville, VA 22939 Phone: 540-332-5926 Fax: 540-332-5930 |
Kaitlin Leigh Berry, Urology Medicare: Medicare Enrolled Practice Location: 70 Medical Center Cir Ste 302, Fishersville, VA 22939 Phone: 540-332-5630 Fax: 540-332-5631 |
Theodore Ilie Cisu, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 70 Medical Center Cir Ste 302, Fishersville, VA 22939 Phone: 540-332-5630 Fax: 540-332-5631 |