Dr Gary Gene Sisson, OD is a
Optometrist based in St Joseph, Michigan. Dr Gary Gene Sisson is licensed to practice in Michigan (license number 4901002192) and his current practice location is
2904 Division Street, St Joseph, Michigan. He can be reached at his office (for appointments etc.) via phone at
(269) 983-2020.
NPI number for Dr Gary Gene Sisson is 1912048208 and his current mailing address is 2904 Division Street, St Joseph, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912048208.
Healthcare Provider's Profile
Full Name | Dr Gary Gene Sisson |
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Gender | Male |
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Speciality | Optometrist |
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Location | 2904 Division Street, St Joseph, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912048208
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 06/26/2008
Medical Identifiers
Medical identifiers for Dr Gary Gene Sisson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912048208 | NPI | - | NPPES |
900A165060 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 4901002192 (Michigan) | 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. Dr Gary Gene Sisson 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 |
Dr Gary Gene Sisson, OD 2904 Division Street, St Joseph, MI 49085 Ph: (269) 983-2020 | Dr Gary Gene Sisson, OD 2904 Division Street, St Joseph, MI 49085 Ph: (269) 983-2020 |
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