Dr Queenter Kisang, MD in Pueblo, CO - Medicare Family Medicine

Dr Queenter Kisang, MD is a medicare enrolled "Family Medicine" physician in Pueblo, Colorado. Her current practice location is 3676 Parker Blvd, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 553-1804.

Dr Queenter Kisang is licensed to practice in Colorado (license number DR.006687) 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 1033773627.

Contact Information

	Dr Queenter Kisang, MD
	3676 Parker Blvd, Pueblo, CO 81008-2212
	(719) 553-1804
	(833) 916-2047

Map and Direction

Physician's Profile

Full Name	Dr Queenter Kisang
Gender	Female
Speciality	Family Medicine
Location	3676 Parker Blvd, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033773627
Provider Enumeration Date: 04/29/2019
Last Update Date: 05/20/2024

Medicare PECOS Information:

PECOS PAC ID: 9335473578
Enrollment ID: I20220922001043

Medical Identifiers

Medical identifiers for Dr Queenter Kisang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033773627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	DR.006687 (Colorado)	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 Queenter Kisang allows following entities to bill medicare on her behalf.

Entity Name	Saint Thomas Medical Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470

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 Queenter Kisang 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 Queenter Kisang, MD Po Box 9000, Pueblo, CO 81008-9000 Ph: (719) 553-1804	Dr Queenter Kisang, MD 3676 Parker Blvd, Pueblo, CO 81008-2212 Ph: (719) 553-1804

Reviews and Comments

Family Medicine Doctors in Pueblo, CO

Dr. Camila Teresa Robles, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872
Steven Nafziger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1619 N Greenwood St, Suite 204, Pueblo, CO 81003 Phone: 719-544-1551 Fax: 719-544-1493
Dr. Dana G Riley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 Fax: 719-543-5340
Dr. Terry Liefde, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5855 Fax: 719-557-5097
Spencer Bruce Hegerhorst, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872 Fax: 719-557-4780
Dr. Scott Alan Deruiter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 S Burlington Dr, Pueblo, CO 81007 Phone: 719-553-2205 Fax: 833-314-0183

Dr Queenter Kisang, MD - Medicare Family Medicine in Pueblo, CO