Carl W Nissen, MD in Hartford, CT - Medicare Sports Medicine

Carl W Nissen, MD is a medicare enrolled "Orthopaedic Surgery" physician in Hartford, Connecticut. He went to University Of Connecticut School Of Medicine and graduated in 1990 and has 36 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Hartford Hospital and his current practice location is 31 Seymour St Ste 204, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 421-3233.

Carl W Nissen is licensed to practice in Connecticut (license number 033613) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1982601530.

Contact Information

	Carl W Nissen, MD
	31 Seymour St Ste 204, Hartford, CT 06106-5505
	(860) 421-3233
	Not Available

Map and Direction

Physician's Profile

Full Name	Carl W Nissen
Gender	Male
Speciality	Sports Medicine
Experience	36 Years
Location	31 Seymour St Ste 204, Hartford, Connecticut
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carl W Nissen attended and graduated from University Of Connecticut School Of Medicine in 1990

NPI Data:

NPI Number: 1982601530
Provider Enumeration Date: 06/28/2005
Last Update Date: 11/19/2025

Medicare PECOS Information:

PECOS PAC ID: 8729093505
Enrollment ID: I20060215000519

Medical Identifiers

Medical identifiers for Carl W Nissen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982601530	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XP3100X	Orthopaedic Surgery - Pediatric Orthopaedic Surgery	033613 (Connecticut)	Secondary
207X00000X	Orthopaedic Surgery	033613 (Connecticut)	Primary
207XX0005X	Orthopaedic Surgery - Sports Medicine	33613 (Connecticut)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hartford Hospital	Hartford, CT	Hospital

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. Carl W Nissen allows following entities to bill medicare on his behalf.

Entity Name	Connecticut Children's Specialty Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752

Entity Name	Prism Sports Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851920029 PECOS PAC ID: 3173944782 Enrollment ID: O20200608002529

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. Carl W 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
Carl W Nissen, MD 31 Pinnacle Ridge Rd, Farmington, CT 06032-3041 Ph: (860) 421-3233	Carl W Nissen, MD 31 Seymour St Ste 204, Hartford, CT 06106-5505 Ph: (860) 421-3233

Reviews and Comments

Orthopaedic Surgery Doctors in Hartford, CT

Dr. Peter R Barnett, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 85 Seymour St, Suite 607, Hartford, CT 06106 Phone: 860-549-3210 Fax: 860-247-3803
Hanbing Zhou, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 31 Seymour Street, Suite 100, Hartford, CT 06106 Phone: 860-549-8261 Fax: 860-247-3803
Heeren S Makanji, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 31 Seymour St Ste 100, Hartford, CT 06106 Phone: 860-549-3210 Fax: 860-244-1075
Courtland G Lewis, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 85 Seymour St, Suite 607, Hartford, CT 06106 Phone: 860-549-8232 Fax: 860-247-3803
Christopher Harry Judson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 31 Seymour Street, Suite 100, Hartford, CT 06106 Phone: 860-549-3210 Fax: 860-247-3803
Jeffrey Thomson, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9100 Fax: 860-545-9095
Kristan Pierz, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9100 Fax: 860-545-9095

Carl W Nissen, MD - Medicare Sports Medicine in Hartford, CT