Larry G Kisby, PA-C in Fremont, NE - Medicare Physician Assistant

Larry G Kisby, PA-C is a medicare enrolled "Physician Assistant" in Fremont, Nebraska. He graduated from nursing school in 1987 and has 37 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Physicians Clinic Inc and his current practice location is 710 Reynolds Road, Fremont, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 727-1091.

Larry G Kisby is licensed to practice in Nebraska (license number 358) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639127517.

Contact Information

	Larry G Kisby, PA-C
	710 Reynolds Road, Fremont, NE 68025-2300
	(402) 727-1091
	(402) 727-7628

Map and Direction

Provider's Profile

Full Name	Larry G Kisby
Gender	Male
Speciality	Physician Assistant
Experience	37 Years
Location	710 Reynolds Road, Fremont, Nebraska
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Larry G Kisby graduated from nursing school in 1987

NPI Data:

NPI Number: 1639127517
Provider Enumeration Date: 05/04/2006
Last Update Date: 07/10/2007

Medicare PECOS Information:

PECOS PAC ID: 1153497938
Enrollment ID: I20080902000109

Medical Identifiers

Medical identifiers for Larry G Kisby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639127517	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	358 (Nebraska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Fremont Health	Fremont, NE	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physicians Clinic Inc	4880506062	505

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. Larry G Kisby 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
Larry G Kisby, PA-C 710 Reynolds Road, Fremont, NE 68025-2300 Ph: (402) 727-1091	Larry G Kisby, PA-C 710 Reynolds Road, Fremont, NE 68025-2300 Ph: (402) 727-1091

Reviews and Comments

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Larry G Kisby, PA-C - Medicare Physician Assistant in Fremont, NE