Daniel James Kissau, MD in Olympia, WA - Medicare Internal Medicine

Daniel James Kissau, MD is a medicare enrolled "Internal Medicine" physician in Olympia, Washington. His current practice location is 413 Lilly Rd Ne, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 493-4083.

Daniel James Kissau is licensed to practice in Washington (license number MD61444250) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861996837.

Contact Information

	Daniel James Kissau, MD
	413 Lilly Rd Ne, Olympia, WA 98506-5133
	(360) 493-4083
	(360) 486-6436

Map and Direction

Physician's Profile

Full Name	Daniel James Kissau
Gender	Male
Speciality	Internal Medicine
Location	413 Lilly Rd Ne, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861996837
Provider Enumeration Date: 03/22/2018
Last Update Date: 10/05/2023

Medicare PECOS Information:

PECOS PAC ID: 8224384300
Enrollment ID: I20231011000583

Medical Identifiers

Medical identifiers for Daniel James Kissau such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861996837	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD61444250 (Washington)	Primary

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. Daniel James Kissau allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376624981 PECOS PAC ID: 9234048323 Enrollment ID: O20040227000254

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744

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. Daniel James Kissau 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
Daniel James Kissau, MD Po Box 3360, Portland, OR 97208-3360 Ph: () -	Daniel James Kissau, MD 413 Lilly Rd Ne, Olympia, WA 98506-5133 Ph: (360) 493-4083

Reviews and Comments

Internal Medicine Doctors in Olympia, WA

Miss Tui Agaapapalagi Lauilefue, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3920 Capital Mall Dr Sw Ste 200, Olympia, WA 98502 Phone: 360-596-4899 Fax: 360-596-4889
Monique C. Semien, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089
Dr. Philip William Berger, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 406 Black Hills Ln Sw, Ste A, Olympia, WA 98502 Phone: 360-754-1737 Fax: 360-704-3408
Mr. Robert Love Huck, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne Suite 201, Olympia, WA 98503 Phone: 360-413-8272 Fax: 360-413-8878
Dr. Ngozi Achebe, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 Capitol Mall Dr Sw, Sw, Olympia, WA 98502 Phone: 360-754-5858 Fax: 360-704-4751
Dr. Robert C Tomford, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne, Suite 203, Olympia, WA 98506 Phone: 360-413-8121 Fax: 360-413-8865
Brad Allan Howard, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne Ste 100, Olympia, WA 98506 Phone: 360-413-8525 Fax: 360-412-6477

Daniel James Kissau, MD - Medicare Internal Medicine in Olympia, WA