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Andrew Christopher Rising

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

449 W 23rd St, Panama City, FL 32405-4507

PECOS Enrollment

This provider is enrolled in PECOS as ANDREW RISING.

Based on the most recent information from CMS, provider Andrew Christopher Rising is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1578194544
Provider Type
Individual
Full Name
Rising, Andrew Christopher
Credential
APRN

Gender
Male
Sole Proprietor
No
Enumeration Date
1/29/2020
Last Updated
1/29/2020

Contact Information

Practice Location

449 W 23rd St, Panama City, FL 32405-4507

(850) 769-8341

Unlisted Fax

Mailing Location

2934 Kings Dr, Panama City, FL 32405-1616

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11005919 Florida

Andrew Christopher Rising

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Totter, Daniel

Wave, Christie O

Blais, Kaitlyn

Brown, Heather Richelle

Wright, Alyssa Lynn

Konen, Christie

Williams, Jamie

Mohamed, Sara Ehab

Eubanks, Melanie Ashleigh

Wiggins, Haley