Kyle Andrew Jisa, MD in Lincoln, NE - Medicare Physical Medicine & Rehabilitation

Kyle Andrew Jisa, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Lincoln, Nebraska. His current practice location is 3201 South St, Lincoln, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 413-8575.

Kyle Andrew Jisa is licensed to practice in Nebraska (license number 34621) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891285581.

Contact Information

	Kyle Andrew Jisa, MD
	3201 South St, Lincoln, NE 68502
	(402) 413-8575
	(917) 268-9793

Map and Direction

Physician's Profile

Full Name	Kyle Andrew Jisa
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	3201 South St, Lincoln, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891285581
Provider Enumeration Date: 05/17/2018
Last Update Date: 10/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1254681075
Enrollment ID: I20221107002054

Medical Identifiers

Medical identifiers for Kyle Andrew Jisa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891285581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	34621 (Nebraska)	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. Kyle Andrew Jisa allows following entities to bill medicare on his behalf.

Entity Name	Integrated Rehab Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20210526000563

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. Kyle Andrew Jisa 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
Kyle Andrew Jisa, MD 3201 South St #174, Lincoln, NE 68502 Ph: (402) 413-8575	Kyle Andrew Jisa, MD 3201 South St, Lincoln, NE 68502 Ph: (402) 413-8575

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Lincoln, NE

Deborah M Eberspacher, MPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 555 S 70th St, Rm 2504, Lincoln, NE 68510 Phone: 402-219-7498 Fax: 402-421-0945
Janell R Walker, MPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 555 S 70th St, Rm 2504, Lincoln, NE 68510 Phone: 402-219-7498
Dr. Morgan Trevor Laholt, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5401 South St, Lincoln, NE 68506 Phone: 402-413-3531 Fax: 402-413-3535
Heidi A Longe, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 555 S 70th St, Rm 2504, Lincoln, NE 68510 Phone: 402-219-7498
Julia Ann Tuttle, ATC, CSCS Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: University Of Nebraska Athletic Medicine, One Memorial Stadium, Lincoln, NE 68588 Phone: 402-472-2276 Fax: 402-472-2006
Michelle R Thompson, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 555 S 70th St, Rm 2504, Lincoln, NE 68510 Phone: 402-219-7498
Dr. Paul L Krabbenhoft, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5401 South Street, Lincoln, NE 68506 Phone: 402-413-3531 Fax: 402-413-3535

Kyle Andrew Jisa, MD - Medicare Physical Medicine & Rehabilitation in Lincoln, NE