| Mark A Risen, Dpm, | |
|
1003 Old Greensburg Rd, Campbellsville, KY 42718-2571 | |
| (270) 789-4342 | |
| (270) 465-3305 |
| Full Name | Mark A Risen, Dpm, |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1003 Old Greensburg Rd, Campbellsville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154346948 | NPI | - | NPPES |
| 80002165 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 00216 (Kentucky) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Mark A Risen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174571004 PECOS PAC ID: 3577456110 Enrollment ID: I20040206000061 |
| Provider Name | Jessica Nicole Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154982262 PECOS PAC ID: 4688905318 Enrollment ID: I20191010003347 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Risen, Dpm, 1003 Old Greensburg Rd, Campbellsville, KY 42718-2571 Ph: (270) 789-4342 | Mark A Risen, Dpm, 1003 Old Greensburg Rd, Campbellsville, KY 42718-2571 Ph: (270) 789-4342 |
Mr. Mark A Risen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1003 Old Greensburg Rd, Campbellsville, KY 42718 Phone: 270-433-5806 Fax: 270-433-2443 | |
Feltner Foot And Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1866 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-465-3588 | |
Taylor Regional Medical Group,llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1858 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-465-0632 Fax: 270-465-0539 | |
Dr. Phillip Wood Hasler, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Park Dr, Campbellsville, KY 42718 Phone: 270-465-0632 Fax: 270-465-0539 | |
Dr. Matthew Ryan Feltner, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1698 Old Lebanon Rd, Ste 3a, Campbellsville, KY 42718 Phone: 270-465-0632 |