| Clifford Ryan Kissling, | |
|
300 Rockefeller Dr, Muskogee, OK 74401-5075 | |
| (918) 684-2420 | |
| (918) 502-7573 |
| Full Name | Clifford Ryan Kissling |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 7 Years |
| Location | 300 Rockefeller Dr, Muskogee, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548754344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 2019019197 (Missouri) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 39479 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wesley Medical Center | Wichita, KS | Hospital |
| Via Christi Hospital-wichita | Wichita, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Hospitalists Of Kansas, Llc | 6002040557 | 17 |
| Entity Name | Premier Hospitalists Of Kansas, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972942415 PECOS PAC ID: 6002040557 Enrollment ID: O20131016000888 |
| Mailing Address | Practice Location Address |
|---|---|
| Clifford Ryan Kissling, 6600 S Yale Ave Ste 1400, Tulsa, OK 74136-3331 Ph: (918) 684-2420 | Clifford Ryan Kissling, 300 Rockefeller Dr, Muskogee, OK 74401-5075 Ph: (918) 684-2420 |
Ms. Patricia Pack, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1111 N 36th St, Muskogee, OK 74401 Phone: 918-683-4621 Fax: 918-683-4002 | |
Dr. Karissa Marie Misner, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 300 Rockefeller Dr, Rehabilitation Unit, Muskogee, OK 74401 Phone: 918-684-2522 Fax: 918-684-2493 | |
Alicia White, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2244 E Shawnee Rd, Muskogee, OK 74403 Phone: 918-684-9999 Fax: 888-663-4223 | |
Dr. Meagan Scott, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1111 N 36th St, Muskogee, OK 74401 Phone: 918-683-4621 Fax: 918-683-4002 | |
Dr. James Davidson Harris, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-683-3261 | |
Miss Chelsea Holmes, OTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1805 N York St Ste H, Muskogee, OK 74403 Phone: 918-912-2796 | |
Dr. Andrew Russell Olshen, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 333 S 36th St, Muskogee, OK 74401 Phone: 918-682-2815 Fax: 918-682-8643 |