Mrs Jennifer Clark Riseden, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Asheville, North Carolina. Her current practice location is
7 Yorkshire St, Asheville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(828) 761-1710.
Mrs Jennifer Clark Riseden is licensed to practice in North Carolina (license number 5017987) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104107507.
Physician's Profile
| Full Name | Mrs Jennifer Clark Riseden |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 7 Yorkshire St, Asheville, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104107507
- Provider Enumeration Date: 08/30/2011
- Last Update Date: 04/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648442210
- Enrollment ID: I20111004000844
Medical Identifiers
Medical identifiers for Mrs Jennifer Clark Riseden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104107507 | NPI | - | NPPES |
| 460643559 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 16065 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5017987 (North Carolina) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 16065 (Tennessee) | Secondary |
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. Mrs Jennifer Clark Riseden allows following entities to bill medicare on her behalf.
| Entity Name | Family Medicine West Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083962815
PECOS PAC ID: 7618126608
Enrollment ID: O20121008000403 |
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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. Mrs Jennifer Clark Riseden 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 |
|---|
Mrs Jennifer Clark Riseden, FNP-BC
117 Cannon Ridge Rd,
Arden, NC 28704-1160
Ph: (865) 712-9191 | Mrs Jennifer Clark Riseden, FNP-BC
7 Yorkshire St,
Asheville, NC 28803-2796
Ph: (828) 761-1710 |
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