Susan J Nissen, MD is a
Physical Medicine & Rehabilitation physician based in Faribault, Minnesota. Susan J Nissen is licensed to practice in Minnesota (license number 35779) and her current practice location is 924 1st St Ne, Faribault, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 333-3300.
NPI number for Susan J Nissen is 1306870225 and her current mailing address is 924 1st St Ne, Faribault, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306870225.
Physician's Profile
| Full Name | Susan J Nissen |
|---|
| Gender | Female |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 924 1st St Ne, Faribault, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306870225
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Susan J Nissen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306870225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 35779 (Minnesota) | 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. Susan J Nissen 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 |
|---|
Susan J Nissen, MD
924 1st St Ne,
Faribault, MN 55021-5441
Ph: (507) 333-3300 | Susan J Nissen, MD
924 1st St Ne,
Faribault, MN 55021-5441
Ph: (507) 333-3300 |
Reviews and Comments