Mrs Kelly Sisson, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Zeeland, North Dakota. Her current practice location is
407 4th Ave Sw, Zeeland, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 595-5789.
Mrs Kelly Sisson is licensed to practice in North Dakota (license number 4978) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770906760.
Healthcare Provider's Profile
| Full Name | Mrs Kelly Sisson |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 407 4th Ave Sw, Zeeland, North Dakota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Kelly Sisson attended and graduated from in
NPI Data:
- NPI Number: 1770906760
- Provider Enumeration Date: 01/27/2014
- Last Update Date: 05/19/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Kelly Sisson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770906760 | NPI | - | NPPES |
| 143053 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 149016432 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4978 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Sisson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Kelly Sisson, LICSW
Po Box 155,
Zeeland, ND 58581-0155
Ph: (701) 595-5789 | Mrs Kelly Sisson, LICSW
407 4th Ave Sw,
Zeeland, ND 58581-4047
Ph: (701) 595-5789 |
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