Susan M Moore-riesbeck Do in Elkhart, IN - Medicare Family Medicine

Susan M Moore-riesbeck Do is a medicare enrolled primary clinic (Family Medicine - Geriatric Medicine) in Elkhart, Indiana. The current practice location for Susan M Moore-riesbeck Do is 28070 County Road 24, Elkhart, Indiana. For appointments, you can reach them via phone at (574) 273-8053. The mailing address for Susan M Moore-riesbeck Do is Po Box 175, Granger, Indiana and phone number is (574) 273-8053.

Susan M Moore-riesbeck Do is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1174178701. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (574) 273-8053.

Contact Information

	Susan M Moore-riesbeck Do
	28070 County Road 24 Elkhart IN 46517-9717
	(574) 273-8053
	(574) 273-8056

Map and Direction

Primary Care Clinic Profile

Full Name	Susan M Moore-riesbeck Do
Speciality	Family Medicine
Location	28070 County Road 24, Elkhart, Indiana
Authorized Official Name and Position	David Riesbeck (ACCOUNTANT)
Authorized Official Contact	5749934464
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Susan M Moore-riesbeck Do Po Box 175 Granger IN 46530-0175 Ph: (574) 273-8053	Susan M Moore-riesbeck Do 28070 County Road 24 Elkhart IN 46517-9717 Ph: (574) 273-8053

NPI Details:

NPI Number	1174178701
Provider Enumeration Date	08/09/2019
Last Update Date	11/07/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	7113351909
Medicare Enrollment ID	O20200103000650

Medical Identifiers

Medical identifiers for Susan M Moore-riesbeck Do such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174178701	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QG0300X	Family Medicine - Geriatric Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Susan M Moore-riesbeck Do acts as a billing entity for following providers:

Provider Name	Susan Marie Moore Riesbeck
Provider Type	Practitioner - Geriatric Medicine
Provider Identifiers	NPI Number: 1215090378 PECOS PAC ID: 2961496245 Enrollment ID: I20040409000595

Reviews and Comments

Family Medicine in Elkhart, IN

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Beacon Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1506 Osolo Rd Ste C, Elkhart, IN 46514 Phone: 574-266-6050 Fax: 574-262-8485

Susan M Moore-riesbeck Do - Medicare Primary Care in Elkhart, IN