Michael John Kissenberth, MD | |
200 Patewood Dr Ste C100, Greenville, SC 29615-6322 | |
(864) 454-7422 | |
(864) 454-8265 |
Full Name | Michael John Kissenberth |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 31 Years |
Location | 200 Patewood Dr Ste C100, Greenville, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184670994 | NPI | - | NPPES |
7359182 | Other | SC | CIGNA |
272591 | Medicaid | SC | |
576007863133 | Other | SC | BLUE CHOICE OF SC |
7422707 | Other | SC | AETNA |
P00271214 | Other | SC | RR MEDICARE |
576007863158 | Other | SC | BCBS OF SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 27259 (South Carolina) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 27259 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Interim Healthcare Of The Upstate | Greenville, SC | Home health agency |
Prisma Health Patewood Hospital | Greenville, SC | Hospital |
Prisma Health Hillcrest Hospital | Simpsonville, SC | Hospital |
Self Regional Healthcare | Greenwood, SC | Hospital |
Prisma Health Greer Memorial Hospital | Greer, SC | Hospital |
Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health University Medical Group | 8325950983 | 2206 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Greenville Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
Mailing Address | Practice Location Address |
---|---|
Michael John Kissenberth, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: () - | Michael John Kissenberth, MD 200 Patewood Dr Ste C100, Greenville, SC 29615-6322 Ph: (864) 454-7422 |
James Frederick Silliman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Patewood Drive, Suite C100, Greenville, SC 29615 Phone: 864-454-7422 Fax: 864-454-8265 | |
Dr. Franklin Keith Gettys, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 950 W Faris Rd, Greenville, SC 29605 Phone: 864-240-3103 Fax: 864-240-2146 | |
Jacob Eskew, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 13 Edgewood Dr, Greenville, SC 29605 Phone: 864-455-7861 | |
Robert Michael Wood, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 111 Doctors Dr, Greenville, SC 29605 Phone: 864-797-7150 Fax: 864-797-7155 | |
Dr. James Michael Miller, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-6221 Fax: 864-455-7082 | |
Christel Molnar, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-6221 | |
Dr. William Parshall Huntington, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste C100, Greenville, SC 29615 Phone: 864-454-7422 Fax: 864-454-8265 |