Kerry Michael Nissley, | |
5665 Main St, East Petersburg, PA 17520-1513 | |
(717) 569-7011 | |
Not Available |
Full Name | Kerry Michael Nissley |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 5665 Main St, East Petersburg, Pennsylvania |
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 |
---|---|---|---|
1497160295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP013914 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lancaster General Hospital | Lancaster, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lancaster General Medical Group | 0941103683 | 462 |
Entity Name | Lancaster General Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952392383 PECOS PAC ID: 0941103683 Enrollment ID: O20040309000916 |
Mailing Address | Practice Location Address |
---|---|
Kerry Michael Nissley, 5665 Main St, East Petersburg, PA 17520-1513 Ph: (717) 569-7011 | Kerry Michael Nissley, 5665 Main St, East Petersburg, PA 17520-1513 Ph: (717) 569-7011 |
Elise Arters, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5665 Main St, East Petersburg, PA 17520 Phone: 717-569-7011 | |
Felisha Rita Murray, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5665 Main St, East Petersburg, PA 17520 Phone: 717-569-7011 | |
Mrs. Elizabeth C Sigmund, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5665 Main St, East Petersburg, PA 17520 Phone: 717-569-7011 Fax: 717-569-8694 |