Susan Marie Moore Riesbeck


Address: 28070 County Rd, Suite 24, Elkhart, IN 46517-9717
Phone: 5742956260

Susan Marie Moore Riesbeck (NPI# 1215090378, PAC ID# 2961496245) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1215090378
PAC ID by PECOS 2961496245
Professional Enrollment ID I20040409000595
Full Name Susan Marie Moore Riesbeck
Address 28070 County Rd
Suite 24
Elkhart
IN 46517-9717
Phone Number 5742956260
Gender F
Credential DO
Medical School KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 1990
Primary Specialty GERIATRIC MEDICINE
Secondary Specialties FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
151300 COMMUNITY HOSPITAL OF BREMEN INC
150058 MEMORIAL HOSPITAL OF SOUTH BEND
150018 ELKHART GENERAL HOSPITAL

Other Locations

Address Phone Organization
28070 County Rd, Suite 24, Elkhart, IN 46517-9717 5742956260

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_MR_1 Medication Reconciliation 28%
ACI_EC_TRANS_PEA_1 Provide Patient Access 11%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 3%
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 5%
ACI_EC_TRANS_SM_1 Secure Messaging 0%

Organization Information

Office Location

Street Address 28070 COUNTY RD
SUITE 24
City ELKHART
State IN
Zip 46517-9717

Physicians in the same zip code

Name Specialty Organization Address
Susan M Taccheri Psychiatry Oaklawn Psychiatric Center Inc 2600 Oakland Ave, Elkhart, IN 46517-1533
Ken R Yoder Clinical Social Worker Oaklawn Psychiatric Center Inc 2600 Oakland Ave, Elkhart, IN 46517-1533
Lori N Gibson Nurse Practitioner Oaklawn Psychiatric Center Inc 2600 Oakland Ave, Elkhart, IN 46517-1533
Luke Lefever Clinical Social Worker Oaklawn Psychiatric Center Inc 2600 Oakland Ave, Elkhart, IN 46517-1533
Robin Marie Ebright Zehr Clinical Social Worker Oaklawn Psychiatric Center Inc 2600 Oakland Ave, Elkhart, IN 46517-1533
Jeffrey L Kauffman Nurse Practitioner Oaklawn Psychiatric Center Inc 2600 Oakland Ave, Elkhart, IN 46517-1533
Daniel L. Kinsey Psychiatry Oaklawn Psychiatric Center Inc 2600 Oakland Ave, Elkhart, IN 46517-1533
Kenya M Kidder Clinical Social Worker Oaklawn Psychiatric Center Inc 2600 Oakland Ave, Elkhart, IN 46517-1533
Douglas L Jarvis Psychiatry Oaklawn Psychiatric Center Inc 2600 Oakland Ave, Elkhart, IN 46517-1533
Angela M Welling Clinical Social Worker Oaklawn Psychiatric Center Inc 2600 Oakland Ave, Elkhart, IN 46517-1533
Find all physicians in zip 46517

Competitor

Search similar physicians

City ELKHART
Zip Code 46517
Specialty GERIATRIC MEDICINE
City + Specialty ELKHART + GERIATRIC MEDICINE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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