| David Glenn Rising, EDD | |
|
1205 River Ave Fl 2, Williamsport, PA 17701-3724 | |
| (570) 326-4118 | |
| (570) 326-5533 |
| Full Name | David Glenn Rising |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 26 Years |
| Location | 1205 River Ave Fl 2, Williamsport, Pennsylvania |
| 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 |
|---|---|---|---|
| 1114997996 | NPI | - | NPPES |
| 1034368990001 | Medicaid | PA | |
| 6E5001 | Other | PA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS007680L (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Practice Center Pc | 0244124212 | 325 |
| Entity Name | Family Practice Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012 |
| Mailing Address | Practice Location Address |
|---|---|
| David Glenn Rising, EDD 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123 | David Glenn Rising, EDD 1205 River Ave Fl 2, Williamsport, PA 17701-3724 Ph: (570) 326-4118 |
Mrs. Shallary Simmons Duncan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 721 Rose St, Williamsport, PA 17701 Phone: 570-971-7729 | |
Lisa Marie D'addio, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026 | |
Dr. John Scott Neil, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1521 Washington Blvd, Williamsport, PA 17701 Phone: 570-322-5051 Fax: 570-322-6788 | |
Dr. Kathy W Zakarian, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1521 Washington Blvd, Williamsport, PA 17701 Phone: 570-322-5051 Fax: 570-322-6788 | |
Dr. Erin Leigh Miller, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7525 Fax: 570-320-7484 | |
Margaret Louise Fulmer, M.S. ED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026 |