Carl W Nissen, MD - Medicare Sports Medicine in Glastonbury, CT

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Carl W Nissen, MD is a medicare enrolled "Orthopaedic Surgery" physician in Glastonbury, Connecticut. He went to University Of Connecticut School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Hartford Hospital and his current practice location is 195 Eastern Blvd, Glastonbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 527-7161.

Carl W Nissen is licensed to practice in Connecticut (license number 033613) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1982601530.

Contact Information

Carl W Nissen, MD
195 Eastern Blvd,
Glastonbury, CT 06033-4312
(860) 527-7161
(860) 652-8410

Map and Direction




Physician's Profile

Full NameCarl W Nissen
GenderMale
SpecialitySports Medicine
Experience34 Years
Location195 Eastern Blvd, Glastonbury, Connecticut
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carl W Nissen attended and graduated from University Of Connecticut School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1982601530
  • Provider Enumeration Date: 06/28/2005
  • Last Update Date: 03/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8729093505
  • Enrollment ID: I20060215000519

Medical Identifiers

Medical identifiers for Carl W Nissen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982601530NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XP3100XOrthopaedic Surgery - Pediatric Orthopaedic Surgery 033613 (Connecticut)Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine 33613 (Connecticut)Secondary
207X00000XOrthopaedic Surgery 033613 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hartford HospitalHartford, CTHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carl W Nissen allows following entities to bill medicare on his behalf.
Entity NameConnecticut Children's Specialty Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669448882
PECOS PAC ID: 6002720117
Enrollment ID: O20031113000468
Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407806391
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000700
Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770696643
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000752
Entity NameHartford Orthopaedic Plastic & Hand Surgeons Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295889970
PECOS PAC ID: 4385546936
Enrollment ID: O20040123000368
Entity NamePrism Sports Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851920029
PECOS PAC ID: 3173944782
Enrollment ID: O20200608002529

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. Carl W Nissen 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 AddressPractice Location Address
Carl W Nissen, MD
195 Eastern Blvd,
Glastonbury, CT 06033-4312

Ph: (860) 527-7161		Carl W Nissen, MD
195 Eastern Blvd,
Glastonbury, CT 06033-4312

Ph: (860) 527-7161

Reviews and Comments


Orthopaedic Surgery Doctors in Glastonbury, CT

Jill Putnam, MD
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Practice Location: 195 Eastern Blvd Ste 200, Glastonbury, CT 06033
Phone: 614-893-8800    
Dr. Daniel J Mastella, MD
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Practice Location: 195 Eastern Blvd, Suite 200, Glastonbury, CT 06033
Phone: 860-527-7161    Fax: 860-652-8410
Dr. Devon Nicholas Banda, DO
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Practice Location: The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033
Phone: 860-215-4245    
Dr. Alex G. Dukas, M.D.
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Practice Location: 84 Glastonbury Blvd Ste 101, Glastonbury, CT 06033
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Dr. Clifford Rios, MD
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Practice Location: 345 Western Blvd, Glastonbury, CT 06033
Phone: 860-549-8295    Fax: 860-244-1088
Hiba Ibad,
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 195 Eastern Blvd Ste 200, Glastonbury, CT 06033
Phone: 860-781-6294    
Sean Esmende, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 345 Western Blvd, Glastonbury, CT 06033
Phone: 860-549-8253    Fax: 860-241-1177

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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