Mr Mark A Risen, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Campbellsville, Kentucky. He went to College Of Physicians And Surgeons (iowa) and graduated in 1993 and has 33 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Adair County Hospital District, T J Health Columbia Inc and his current practice location is
1003 Old Greensburg Rd, Campbellsville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 433-5806.
Mr Mark A Risen is licensed to practice in Kentucky (license number 00216) 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 1174571004.
Healthcare Provider's Profile
| Full Name | Mr Mark A Risen |
|---|
| Gender | Male |
|---|
| Speciality | Podiatry |
|---|
| Experience | 33 Years |
|---|
| Location | 1003 Old Greensburg Rd, Campbellsville, Kentucky |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mr Mark A Risen attended and graduated from College Of Physicians And Surgeons (iowa) in 1993
NPI Data:
- NPI Number: 1174571004
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 07/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577456110
- Enrollment ID: I20040206000061
Medical Identifiers
Medical identifiers for Mr Mark A Risen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174571004 | NPI | - | NPPES |
| 80002165 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 00216 (Kentucky) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 00216 (Kentucky) | Primary |
Medical Facilities Affiliation
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. Mr Mark A Risen allows following entities to bill medicare on his behalf.
| Provider Name | Mark A Risen, Dpm, |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1154346948
PECOS PAC ID: 1052204690
Enrollment ID: O20040206000036 |
|---|
| Provider Name | T J Health Columbia Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1942666466
PECOS PAC ID: 7113224783
Enrollment ID: O20161018002105 |
|---|
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. Mr Mark A Risen 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 |
|---|
Mr Mark A Risen, DPM
Po Box 645996,
Cincinnati, OH 45264-5996
Ph: (270) 651-4444 | Mr Mark A Risen, DPM
1003 Old Greensburg Rd,
Campbellsville, KY 42718-2571
Ph: (270) 433-5806 |
Reviews and Comments