Michael D Nissen, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Vernon, Florida. His current practice location is
3399 Ferris Cir, Vernon, Florida. You can reach out to his office (for appointments etc.) via phone at
(706) 594-6919.
Michael D Nissen is licensed to practice in Florida (license number 11026653) 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 1417077827.
Provider's Profile
| Full Name | Michael D Nissen |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 3399 Ferris Cir, Vernon, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael D Nissen attended and graduated from in
NPI Data:
- NPI Number: 1417077827
- Provider Enumeration Date: 03/30/2007
- Last Update Date: 11/05/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Michael D Nissen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417077827 | NPI | - | NPPES |
| 7004922 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 242756 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11026653 (Florida) | 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. Michael D Nissen 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 |
|---|
Michael D Nissen, NP-C
3399 Ferris Cir,
Vernon, FL 32462-2217
Ph: (706) 594-6919 | Michael D Nissen, NP-C
3399 Ferris Cir,
Vernon, FL 32462-2217
Ph: (706) 594-6919 |
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