Kenneth Richard Nissim, MD in Miami, FL

Kenneth Richard Nissim, MD is a medicare enrolled "Otolaryngology" physician in Miami, Florida. He went to Harvard Medical School and graduated in 1990 and has 34 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Lakeland Regional Health Systems Inc and his current practice location is 8932 Sw 97th Ave, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 270-3740.

Kenneth Richard Nissim is licensed to practice in Florida (license number ME85561) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447246392.

Contact Information

	Kenneth Richard Nissim, MD
	8932 Sw 97th Ave, Miami, FL 33176-1936
	(305) 270-3740
	Not Available

Map and Direction

Physician's Profile

Full Name	Kenneth Richard Nissim
Gender	Male
Speciality	Otolaryngology
Experience	34 Years
Location	8932 Sw 97th Ave, Miami, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenneth Richard Nissim attended and graduated from Harvard Medical School in 1990

NPI Data:

NPI Number: 1447246392
Provider Enumeration Date: 09/26/2005
Last Update Date: 03/27/2012

Medicare PECOS Information:

PECOS PAC ID: 2668652082
Enrollment ID: I20110202000263

Medical Identifiers

Medical identifiers for Kenneth Richard Nissim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447246392	NPI	-	NPPES
2675617-00	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	ME85561 (Florida)	Primary
207YS0012X	Otolaryngology - Sleep Medicine	ME85561 (Florida)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakeland Regional Medical Center	Lakeland, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeland Regional Health Systems Inc	8325952914	360

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. Kenneth Richard Nissim allows following entities to bill medicare on his behalf.

Entity Name	Lakeland Regional Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497748743 PECOS PAC ID: 8325952914 Enrollment ID: O20031118000384

Entity Name	University Of Miami
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013967827 PECOS PAC ID: 3274795109 Enrollment ID: O20200406001006

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. Kenneth Richard Nissim 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
Kenneth Richard Nissim, MD 1120 Nw 14th St, 5th Floor, Miami, FL 33136-2107 Ph: (305) 243-3564	Kenneth Richard Nissim, MD 8932 Sw 97th Ave, Miami, FL 33176-1936 Ph: (305) 270-3740

Reviews and Comments

Otolaryngology Doctors in Miami, FL

Bradley J Goldstein, MD PHD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1120 Nw 14th St, 5th Floor, Miami, FL 33136 Phone: 305-243-3564 Fax: 305-243-1733
Liliana Jacqueline Ein, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-243-6466
Oswaldo Jose Henriquez, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1120 Nw 14th St, Miami, FL 33136 Phone: 305-243-3564 Fax: 305-243-2009
Dr. William Marshall Portnoy, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3100 Sw 62nd Ave Ste 124, Miami, FL 33155 Phone: 305-662-8377 Fax: 305-663-8513
Dr. Brian Ho, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3100 Sw 62nd Ave, Miami, FL 33155 Phone: 305-666-6511
Dominique Bohorquez, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-1111
Dr. Gaston A De Cardenas, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3100 Sw 62nd Ave, Suite 124, Miami, FL 33155 Phone: 305-662-8316 Fax: 305-663-8513

Kenneth Richard Nissim, MD - Medicare Otolaryngology in Miami, FL