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 | Psychologist |
Location | 1205 River Ave Fl 2, Williamsport, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114997996 | NPI | - | NPPES |
1034368990001 | Medicaid | PA | |
6E5001 | Other | PA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS007680L (Pennsylvania) | Primary |
Entity Name | Family Practice Center Pc |
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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 | |
Rebecca L Frazier, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2620 | |
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: Medicare Enrolled Practice Location: 1521 Washington Blvd, Williamsport, PA 17701 Phone: 570-322-5051 Fax: 570-322-6788 | |
Dr. Erin Leigh Miller, PHD Psychologist Medicare: Accepting Medicare Assignments 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 |