Lance Nissley, DO is a
Anesthesiology physician based in Fort Eisenhower, Georgia. Lance Nissley is licensed to practice in Pennsylvania (license number OS020413) and his current practice location is 300 W Hospital Rd, Fort Eisenhower, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 787-5811.
NPI number for Lance Nissley is 1164919676 and his current mailing address is 300 W Hospital Rd, Fort Eisenhower, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164919676.
Physician's Profile
| Full Name | Lance Nissley |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 300 W Hospital Rd, Fort Eisenhower, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164919676
- Provider Enumeration Date: 04/19/2018
- Last Update Date: 06/13/2023
Medical Identifiers
Medical identifiers for Lance Nissley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164919676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | OS020413 (Pennsylvania) | Primary |
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. Lance Nissley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lance Nissley, DO
300 W Hospital Rd,
Fort Eisenhower, GA 30905-5741
Ph: (706) 787-5811 | Lance Nissley, DO
300 W Hospital Rd,
Fort Eisenhower, GA 30905-5741
Ph: (706) 787-5811 |
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