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

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

Primary Care Clinic Profile

Full NameSusan M Moore-riesbeck Do
SpecialityFamily Medicine
Location28070 County Road 24, Elkhart, Indiana
Authorized Official Name and PositionDavid Riesbeck (ACCOUNTANT)
Authorized Official Contact5749934464
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice 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 Number1174178701
Provider Enumeration Date08/09/2019
Last Update Date11/07/2019

Medicare PECOS Information:

Medicare PECOS PAC ID7113351909
Medicare Enrollment IDO20200103000650

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Medical Identifiers

Medical identifiers for Susan M Moore-riesbeck Do such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174178701NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily 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 NameSusan Marie Moore Riesbeck
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1215090378
PECOS PAC ID: 2961496245
Enrollment ID: I20040409000595

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