Mark A Risen, Dpm,
Podiatrist
1003 Old Greensburg Rd, Campbellsville
Kentucky, 42718-2571
270-789-4342 270-465-3305
Mark A Risen, Dpm, is a Podiatrist in Campbellsville, Kentucky. It is located at 1003 Old Greensburg Rd, Campbellsville and it's customer support contact number is 270-789-4342. The authorized person of Mark A Risen, Dpm, is Dr. Mark A Risen, DPM. who is Owner of this DME and his contact number is 270-789-4342. Active license number of Mark A Risen, Dpm, is 00216 for Podiatrist in Kentucky. Mark A Risen, Dpm, accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mark A Risen, Dpm, is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
DME Supplier Details:
Mark A Risen, Dpm, type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Mark A Risen, Dpm, |
| Type: | Podiatrist |
| Location: | 1003 Old Greensburg Rd, Campbellsville,
Kentucky, 42718-2571 |
| Phone: | 270-789-4342 |
| Fax: | 270-465-3305 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Mark A Risen |
| Credentials: | DPM. |
| Position: | Owner |
| Contact Number: | 270-789-4342 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1154346948 |
| NPI Enumeration Date: | 13 Jul, 2006 |
| NPI Last Update On: | 01 Sep, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark A Risen, Dpm, are as mentioned below.
| Specialization | License Number | State | Status | |
| Podiatrist | 00216 | Kentucky | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 80002165 | Medicaid | Kentucky | |
Medicare Enrollment:
Mark A Risen, Dpm, is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1052204690 | O20040206000036 | Mark A Risen, Dpm, | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 1052204690 | O20100930086450 | Mark A Risen, Dpm, | DME SUPPLIER - PHYSICIAN - PODIATRY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1003 Old Greensburg Rd,
Campbellsville, Kentucky |
| Zip: | 42718-2571 |
| Phone Number: | 270-789-4342 |
| Fax Number: | 270-465-3305 |
Patients can reach Mark A Risen, Dpm, at
1003 Old Greensburg Rd, Campbellsville, Kentucky or can
call on customer care at 270-789-4342.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.