Kathleen Williams Nissman, MD in Raleigh, NC

Kathleen Williams Nissman, MD is a medicare enrolled "Anesthesiology" physician in Raleigh, North Carolina. She went to Medical University Of South Carolina College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Emory Medical Care Foundation Inc and her current practice location is 4420 Lake Boone Trl, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 784-3241.

Kathleen Williams Nissman is licensed to practice in North Carolina (license number 2011-01231) 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 1962606269.

Contact Information

	Kathleen Williams Nissman, MD
	4420 Lake Boone Trl, Raleigh, NC 27607-7505
	(919) 784-3241
	(919) 784-6862

Map and Direction

Physician's Profile

Full Name	Kathleen Williams Nissman
Gender	Female
Speciality	Anesthesiology
Experience	19 Years
Location	4420 Lake Boone Trl, Raleigh, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathleen Williams Nissman attended and graduated from Medical University Of South Carolina College Of Medicine in 2005

NPI Data:

NPI Number: 1962606269
Provider Enumeration Date: 06/12/2007
Last Update Date: 10/31/2023

Medicare PECOS Information:

PECOS PAC ID: 5193849628
Enrollment ID: I20240214000613

Medical Identifiers

Medical identifiers for Kathleen Williams Nissman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962606269	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	97347 (Georgia)	Secondary
207L00000X	Anesthesiology	2011-01231 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grady Memorial Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emory Medical Care Foundation Inc	4981501814	814

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. Kathleen Williams Nissman allows following entities to bill medicare on her behalf.

Entity Name	Emory Medical Care Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968

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. Kathleen Williams Nissman 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
Kathleen Williams Nissman, MD Po Box 18139, Raleigh, NC 27619-8139 Ph: (919) 784-3241	Kathleen Williams Nissman, MD 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (919) 784-3241

Reviews and Comments

Anesthesiology Doctors in Raleigh, NC

Dr. Robert A Royster Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3241 Fax: 919-784-6862
James Belknap Collawn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645
Sean Christopher Selig, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100
Dr. Peter Albert Modrow, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 312 Meeting House Cir, Raleigh, NC 27615 Phone: 919-870-8833 Fax: 919-870-8833
Jeremy Kenneth Reading, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 Fax: 919-350-7385
Dr. Kevin E Vorenkamp, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3404 Wake Forest Rd Ste 300, Raleigh, NC 27609 Phone: 919-954-3584 Fax: 919-954-3156
Michael Winn Hauser, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3034

Kathleen Williams Nissman, MD - Medicare Anesthesiology in Raleigh, NC