Kenisha Akeila Nisbett, DO in Los Angeles, CA - Medicare Preventive Medicine

Kenisha Akeila Nisbett, DO is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Los Angeles, California. Her current practice location is 1513 S Grand Ave Ste 200, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 438-0483.

Kenisha Akeila Nisbett is licensed to practice in California (license number 17194) 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 1316471527.

Contact Information

	Kenisha Akeila Nisbett, DO
	1513 S Grand Ave Ste 200, Los Angeles, CA 90015-3075
	(323) 438-0483
	(310) 862-6817

Map and Direction

Physician's Profile

Full Name	Kenisha Akeila Nisbett
Gender	Female
Speciality	Preventive Medicine - Addiction Medicine
Location	1513 S Grand Ave Ste 200, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316471527
Provider Enumeration Date: 04/13/2017
Last Update Date: 05/20/2024

Medicare PECOS Information:

PECOS PAC ID: 1456757210
Enrollment ID: I20210902003147

Medical Identifiers

Medical identifiers for Kenisha Akeila Nisbett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316471527	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	20A17194 (California)	Secondary
2083A0300X	Preventive Medicine - Addiction Medicine	17194 (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. Kenisha Akeila Nisbett allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Entity Name	Vascular Associates Of Southern California, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689835563 PECOS PAC ID: 9335285543 Enrollment ID: O20091001000241

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. Kenisha Akeila Nisbett 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
Kenisha Akeila Nisbett, DO 122 S Green St Ste 5, Tehachapi, CA 93561-1717 Ph: () -	Kenisha Akeila Nisbett, DO 1513 S Grand Ave Ste 200, Los Angeles, CA 90015-3075 Ph: (323) 438-0483

Reviews and Comments

Preventive Medicine Doctors in Los Angeles, CA

Dr. Bernice Boddie Jackson, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 241 N. Figueroa St., Los Angeles, CA 90012 Phone: 213-989-7168
Dr. Emery Jakab, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 313 N Figueroa St, Los Angeles, CA 90012 Phone: 213-240-8117
Mercy Kagoda, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-648-1229
Susan Bradshaw, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6320 W Howard Drollinger Way Ste 203, Los Angeles, CA 90045 Phone: 310-665-0300 Fax: 310-665-0303
Marc E Arnush, M.D., M.P.H. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 9601 S Sepulveda Blvd, Los Angeles, CA 90045 Phone: 310-215-6020
Dr. Douglas M Frye, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 S Commonwealth Ave Ste 1920, Los Angeles, CA 90005 Phone: 213-351-8196
Dr. Keith Allen Emmons, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 865 Comstock Ave, Unit 3b, Los Angeles, CA 90024 Phone: 818-512-5575 Fax: 310-275-0832

Kenisha Akeila Nisbett, DO - Medicare Preventive Medicine in Los Angeles, CA