Mrs Kerry Anne Nissen, OT is a medicare enrolled "Occupational Therapist" provider in York, South Carolina. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Collective Therapy Corp, Collective Therapy Corp and her current practice location is
2049 Rocky Stream Rd, York, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(615) 456-5391.
Mrs Kerry Anne Nissen is licensed to practice in South Carolina (license number 3641) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730236985.
Healthcare Provider's Profile
Full Name | Mrs Kerry Anne Nissen |
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Gender | Female |
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Speciality | Occupational Therapy |
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Experience | 32 Years |
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Location | 2049 Rocky Stream Rd, York, South Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Kerry Anne Nissen graduated from medical school in 1992
NPI Data:
- NPI Number: 1730236985
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 11/17/2010
Medicare PECOS Information:
- PECOS PAC ID: 0042491136
- Enrollment ID: I20110223000056
Medical Identifiers
Medical identifiers for Mrs Kerry Anne Nissen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730236985 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 3641 (South Carolina) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Collective Therapy Corp | 0143651802 | 37 |
Collective Therapy Corp | 0143651802 | 37 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kerry Anne Nissen allows following entities to bill medicare on her behalf.
Provider Name | Collective Therapy Corp |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1396380911 PECOS PAC ID: 0143651802 Enrollment ID: O20220630002285 |
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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. Mrs Kerry Anne 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 |
Mrs Kerry Anne Nissen, OT 2049 Rocky Stream Rd, York, SC 29745-6611 Ph: (615) 456-5391 | Mrs Kerry Anne Nissen, OT 2049 Rocky Stream Rd, York, SC 29745-6611 Ph: (615) 456-5391 |
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