Mariah Nicole Sisson, in Saint Cloud, MN

Mariah Nicole Sisson, is a medicare enrolled "Pediatrics" physician in Saint Cloud, Minnesota. Her current practice location is 1900 Centracare Cir, Saint Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 654-3620.

Mariah Nicole Sisson is licensed to practice in Minnesota (license number 72349) 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 1548752496.

Contact Information

	Mariah Nicole Sisson,
	1900 Centracare Cir, Saint Cloud, MN 56303-5000
	(320) 654-3620
	(320) 654-3647

Map and Direction

Physician's Profile

Full Name	Mariah Nicole Sisson
Gender	Female
Speciality	Pediatrics
Location	1900 Centracare Cir, Saint Cloud, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548752496
Provider Enumeration Date: 06/05/2018
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 4789931932
Enrollment ID: I20221010001870

Medical Identifiers

Medical identifiers for Mariah Nicole Sisson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548752496	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080S0010X	Pediatrics - Sports Medicine	72349 (Minnesota)	Secondary
208000000X	Pediatrics	72349 (Minnesota)	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. Mariah Nicole Sisson allows following entities to bill medicare on her behalf.

Entity Name	Centracare Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293

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. Mariah Nicole Sisson 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
Mariah Nicole Sisson, 1900 Centracare Cir, Saint Cloud, MN 56303-5000 Ph: (320) 654-3610	Mariah Nicole Sisson, 1900 Centracare Cir, Saint Cloud, MN 56303-5000 Ph: (320) 654-3620

Reviews and Comments

Pediatrics Doctors in Saint Cloud, MN

Matthew Molenaar, Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700
Dr. Leslie Jean Mortland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Centracare Cir # 1300, Centracare Clinic Health Plaza Pediatric And Adolescent, Saint Cloud, MN 56303 Phone: 320-654-3610 Fax: 320-654-3647
Richard Hart, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 County Rd 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756
Nathan Charles Messbarger, Pediatrics Medicare: Medicare Enrolled Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700
Rosaleah Victorino Bernardo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700
Denise L Lenarz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-654-3630 Fax: 320-654-3657
Elaina Lee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 251 County Rd 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756

Mariah Nicole Sisson, - Medicare Pediatrics in Saint Cloud, MN