Individual ProviderDavid ReisnerRadiologyAllopathic & Osteopathic PhysiciansPractice Address600 N Wolfe St, Baltimore, MD 21287-0005(410) 502-7814(410) 933-6423PECOS EnrollmentBased on the most recent information from CMS, provider David Reisner is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1578876439Provider TypeIndividualFull NameReisner, DavidTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/21/2010Last Updated4/2/2025Contact InformationPractice LocationPractice Address600 N Wolfe St, Baltimore, MD 21287-0005Phone(410) 502-7814Fax(410) 502-9391Mailing LocationMailing Address6201 Greenleigh Ave, Baltimore, MD 21220-2004Phone(410) 933-6423FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD79554MarylandCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMT197558Pennsylvania