Dr Kenneth Lee Sisco, MD - Medicare Pathology in San Tan Valley, AZ

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Dr Kenneth Lee Sisco, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in San Tan Valley, Arizona. His current practice location is 36386 N Secret Garden Path, San Tan Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at (732) 673-7050.

Dr Kenneth Lee Sisco is licensed to practice in Arizona (license number 63928) 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 1003937111.

Contact Information

Dr Kenneth Lee Sisco, MD
36386 N Secret Garden Path,
San Tan Valley, AZ 85140-5434
(732) 673-7050
Not Available

Map and Direction




Physician's Profile

Full NameDr Kenneth Lee Sisco
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location36386 N Secret Garden Path, San Tan Valley, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003937111
  • Provider Enumeration Date: 04/03/2007
  • Last Update Date: 06/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517393846
  • Enrollment ID: I20200205001970

Medical Identifiers

Medical identifiers for Dr Kenneth Lee Sisco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003937111NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 63928 (Arizona)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. Dr Kenneth Lee Sisco 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 Kenneth Lee Sisco, MD
36386 N Secret Garden Path,
San Tan Valley, AZ 85140-5434

Ph: (732) 673-7050		Dr Kenneth Lee Sisco, MD
36386 N Secret Garden Path,
San Tan Valley, AZ 85140-5434

Ph: (732) 673-7050

Reviews and Comments


Pathology Doctors in San Tan Valley, AZ


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.