Kevin D Misischia, DO in Kingsport, TN - Medicare Family Practice

Kevin D Misischia, DO is a medicare enrolled "Family Medicine" physician in Kingsport, Tennessee. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice State Of Franklin Healthcare Associates, Pllc, Dominion Health And Fitness, Inc and his current practice location is 444 Clinchfield St Ste 2800, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 230-2801.

Kevin D Misischia is licensed to practice in Tennessee (license number DO1254) 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 1356391098.

Contact Information

	Kevin D Misischia, DO
	444 Clinchfield St Ste 2800, Kingsport, TN 37660-3858
	(423) 230-2801
	(423) 239-7750

Map and Direction

Physician's Profile

Full Name	Kevin D Misischia
Gender	Male
Speciality	Family Practice
Experience	28 Years
Location	444 Clinchfield St Ste 2800, Kingsport, Tennessee
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:

Kevin D Misischia attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1996

NPI Data:

NPI Number: 1356391098
Provider Enumeration Date: 05/11/2006
Last Update Date: 12/05/2020

Medicare PECOS Information:

PECOS PAC ID: 4789767807
Enrollment ID: I20100303000056

Medical Identifiers

Medical identifiers for Kevin D Misischia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356391098	NPI	-	NPPES
1337280	Other	TN	BLACK LUNG
3305853	Medicaid	TN
62158439133	Other	TN	JOHN DEERE
209176	Other	TN	UMWA
5607299	Medicaid	VA
384392	Other	VA	BLUE CROSS BLUE SHIELD
CA4007	Other	TN	MEDICARE RAILROAD
4022997	Other	TN	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	DO1254 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital
Indian Path Community Hospital	Kingsport, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Franklin Healthcare Associates, Pllc	2466346291	247
Dominion Health And Fitness, Inc	3274570908	18

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. Kevin D Misischia allows following entities to bill medicare on his behalf.

Entity Name	Mountain Region Family Medicine P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467565804 PECOS PAC ID: 5890699961 Enrollment ID: O20031120000676

Entity Name	State Of Franklin Healthcare Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063459410 PECOS PAC ID: 2466346291 Enrollment ID: O20040211001101

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. Kevin D Misischia 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
Kevin D Misischia, DO 444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606 Ph: (423) 230-2801	Kevin D Misischia, DO 444 Clinchfield St Ste 2800, Kingsport, TN 37660-3858 Ph: (423) 230-2801

Reviews and Comments

Family Medicine Doctors in Kingsport, TN

Mary Axelrad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4848 Fort Henry Dr, Kingsport, TN 37663 Phone: 423-239-5141 Fax: 423-239-4869
Douglas J. Rose, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Ravine Rd, Kingsport, TN 37660 Phone: 423-245-9600 Fax: 423-245-9634
Dr. Chad Bates, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2033 Meadowview Lane, Suite 200 Holston Medical Group Pc, Kingsport, TN 37660 Phone: 423-857-2260
Dr. Edward Monty Stirman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660 Phone: 423-323-6200 Fax: 423-323-6593
Dr. Anthony Tin-lung Ng, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000
Jerry Miller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660 Phone: 423-392-6200
Ms. Lesley Ann Jones, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2012 Brookside Dr, Ste 6, Kingsport, TN 37660 Phone: 423-247-0462 Fax: 423-247-0465

Kevin D Misischia, DO - Medicare Family Practice in Kingsport, TN