Edwin A Hissa, MD is a medicare enrolled "Orthopaedic Surgery" physician in Jackson, Ohio. He went to University Of Cincinnati College Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Holzer Clinic Llc and his current practice location is
500 Burlington Rd, Jackson, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 395-8805.
Edwin A Hissa is licensed to practice in Ohio (license number 3504832OH) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124051081.
Physician's Profile
Full Name | Edwin A Hissa |
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Gender | Male |
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Speciality | Orthopedic Surgery |
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Experience | 43 Years |
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Location | 500 Burlington Rd, Jackson, Ohio |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Edwin A Hissa attended and graduated from University Of Cincinnati College Of Medicine in 1981
NPI Data:
- NPI Number: 1124051081
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 04/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264322858
- Enrollment ID: I20040819001041
Medical Identifiers
Medical identifiers for Edwin A Hissa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124051081 | NPI | - | NPPES |
310917085227 | Other | OH | OH MEDICAID CARESOURCE |
000000300288 | Other | OH | OH MEDICAID UNISON |
3810014406 | Medicaid | WV | |
P00867116 | Other | OH | RAILROAD MEDICARE |
0755053 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 3504832OH (Ohio) | Secondary |
207X00000X | Orthopaedic Surgery | 3504832OH (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Holzer Clinic Llc | 5890606008 | 268 |
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. Edwin A Hissa allows following entities to bill medicare on his behalf.
Entity Name | Holzer Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
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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. Edwin A Hissa 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 |
Edwin A Hissa, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5000 | Edwin A Hissa, MD 500 Burlington Rd, Jackson, OH 45640-9360 Ph: (740) 395-8805 |
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