Dr Lauren Jean Kissner, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Hollister, California. Her current practice location is
1131 Community Parkway, Hollister, California. You can reach out to her office (for appointments etc.) via phone at
(831) 636-4020.
Dr Lauren Jean Kissner is licensed to practice in California (license number A109864) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972776763.
Physician's Profile
| Full Name | Dr Lauren Jean Kissner |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1131 Community Parkway, Hollister, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972776763
- Provider Enumeration Date: 04/11/2008
- Last Update Date: 05/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850528340
- Enrollment ID: I20131206001477
Medical Identifiers
Medical identifiers for Dr Lauren Jean Kissner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972776763 | NPI | - | NPPES |
| A109864 | Other | CA | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | A109864 (California) | 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. Dr Lauren Jean Kissner allows following entities to bill medicare on her behalf.
| Entity Name | County Of San Bernardino |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164467023
PECOS PAC ID: 3870499130
Enrollment ID: O20031209000420 |
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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 Lauren Jean Kissner 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 |
|---|
Dr Lauren Jean Kissner, MD
1131 Community Parkway,
Hollister, CA 95023
Ph: (831) 636-4020 | Dr Lauren Jean Kissner, MD
1131 Community Parkway,
Hollister, CA 95023
Ph: (831) 636-4020 |
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