| Mr Mark A Risen, DPM | |
|
1003 Old Greensburg Rd, Campbellsville, KY 42718-2571 | |
| (270) 433-5806 | |
| (270) 433-2443 |
| 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174571004 | NPI | - | NPPES |
| 80002165 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 00216 (Kentucky) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 00216 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| T J Samson Community Hospital | Glasgow, KY | Hospital |
| 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 |
| 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 |
Mark A Risen, Dpm, Podiatrist Medicare: Medicare Enrolled Practice Location: 1003 Old Greensburg Rd, Campbellsville, KY 42718 Phone: 270-789-4342 Fax: 270-465-3305 | |
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 |