Dr Kemesha Delisser, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Moses Lake, Washington. She went to Icahn School Of Medicine At Mount Sinai and graduated in 2007 and has 17 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice James Petros Md Inc and her current practice location is
1550 S Pioneer Way Ste 220, Moses Lake, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 793-9780.
Dr Kemesha Delisser is licensed to practice in Washington (license number MD60960761) 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 1912166786.
Physician's Profile
| Full Name | Dr Kemesha Delisser |
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| Gender | Female |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 17 Years |
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| Location | 1550 S Pioneer Way Ste 220, Moses Lake, Washington |
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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. |
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Medical Education and Training:
- Dr Kemesha Delisser attended and graduated from Icahn School Of Medicine At Mount Sinai in 2007
NPI Data:
- NPI Number: 1912166786
- Provider Enumeration Date: 06/05/2008
- Last Update Date: 04/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 7214107333
- Enrollment ID: I20110829000512
Medical Identifiers
Medical identifiers for Dr Kemesha Delisser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912166786 | NPI | - | NPPES |
| 2137088 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 0101252058 (Virginia) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 0101252058 (Virginia) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | MD60960761 (Washington) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | MD60960761 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| James Petros Md Inc | 0941479216 | 9 |
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. Dr Kemesha Delisser allows following entities to bill medicare on her behalf.
| Entity Name | James Petros Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336448299
PECOS PAC ID: 0941479216
Enrollment ID: O20110803000651 |
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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. Dr Kemesha Delisser 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 |
|---|
Dr Kemesha Delisser, MD
660 S Coolidge St,
Moses Lake, WA 98837-1872
Ph: (509) 793-9715 | Dr Kemesha Delisser, MD
1550 S Pioneer Way Ste 220,
Moses Lake, WA 98837-4613
Ph: (509) 793-9780 |
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