Dr James R Kisselburg, M,D - Medicare Family Practice in Waycross, GA

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Dr James R Kisselburg, M,D is a medicare enrolled "Hospitalist" physician in Waycross, Georgia. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southland Consolidated Emergency Services Llc, Southland Emergency Medical Services Consolidated, Llc, Southland Cochran Emergency Medical Services Llc and his current practice location is 1900 Tebeau Street, Waycross, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 338-6438.

Dr James R Kisselburg is licensed to practice in Georgia (license number 76594) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841434255.

Contact Information

Dr James R Kisselburg, M,D
1900 Tebeau Street,
Waycross, GA 31501
(912) 338-6438
(912) 338-6439

Map and Direction




Physician's Profile

Full NameDr James R Kisselburg
GenderMale
SpecialityFamily Practice
Experience15 Years
Location1900 Tebeau Street, Waycross, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James R Kisselburg graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1841434255
  • Provider Enumeration Date: 04/29/2009
  • Last Update Date: 08/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0648496687
  • Enrollment ID: I20161004003046

Medical Identifiers

Medical identifiers for Dr James R Kisselburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841434255NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 76594 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital And ManorBainbridge, GAHospital
Bleckley Memorial HospitalCochran, GAHospital
Washington County Regional Medical CenterSandersville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southland Consolidated Emergency Services Llc286079206636
Southland Emergency Medical Services Consolidated, Llc418387132038
Southland Cochran Emergency Medical Services Llc963839802717

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. Dr James R Kisselburg allows following entities to bill medicare on his behalf.
Entity NameHospital Authority Of Candler County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588868947
PECOS PAC ID: 5294623948
Enrollment ID: O20040305000415
Entity NameMayo Clinic Health System In Waycross, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154745982
PECOS PAC ID: 0042124919
Enrollment ID: O20040308000639
Entity NameSouthland Emergency Medical Services Consolidated, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033464391
PECOS PAC ID: 4183871320
Enrollment ID: O20120823000503
Entity NameBurke County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053672527
PECOS PAC ID: 5193971422
Enrollment ID: O20130401000294
Entity NameSouthland Hawkinsville Emergency Medical Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891100962
PECOS PAC ID: 2769600642
Enrollment ID: O20140908000486
Entity NameSouthland Cochran Emergency Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205241395
PECOS PAC ID: 9638398027
Enrollment ID: O20140917001247
Entity NameSouthland Bainbridge Hospitalist Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356735336
PECOS PAC ID: 7214248335
Enrollment ID: O20150616002069
Entity NameSouthland Consolidated Emergency Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174917124
PECOS PAC ID: 2860792066
Enrollment ID: O20151119001289
Entity NameSouthland Optim Screven Emergency Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174917157
PECOS PAC ID: 9739480021
Enrollment ID: O20151210000476
Entity NameSouthland Evans Emergency Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730697418
PECOS PAC ID: 0143575852
Enrollment ID: O20180621000703
Entity NameSouthland Evans Hospitalist Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467960146
PECOS PAC ID: 5799036182
Enrollment ID: O20180925000479
Entity NameSouthland Dodge Emergency Medical Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851958607
PECOS PAC ID: 8224360805
Enrollment ID: O20191031001338
Entity NameSouthland Dodge Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346894334
PECOS PAC ID: 7113259664
Enrollment ID: O20191101001455
Entity NameSouthland Burke Emergency Medical Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235885815
PECOS PAC ID: 9537547401
Enrollment ID: O20220606000360

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. Dr James R Kisselburg 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
Dr James R Kisselburg, M,D
1900 Tebeau Street, Mayo Clinic Health System,
Waycross, GA 31501

Ph: (912) 338-6438		Dr James R Kisselburg, M,D
1900 Tebeau Street,
Waycross, GA 31501

Ph: (912) 338-6438

Reviews and Comments


Hospitalist Doctors in Waycross, GA

Jules M Nehmetallah, MD
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Phone: 913-338-6438    
Roberto Jafet Lopez Vega, M.D.
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Practice Location: 1900 Tebeau St, Waycross, GA 31501
Phone: 201-417-9656    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.