Kevin C Sisk, DO in Blair, NE - Medicare Family Practice

Kevin C Sisk, DO is a medicare enrolled "Family Medicine" physician in Blair, Nebraska. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Memorial Community Hospital Corporation and his current practice location is 812 N 22nd St, Blair, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 426-4611.

Kevin C Sisk is licensed to practice in Nebraska (license number 1178) 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 1629330535.

Contact Information

	Kevin C Sisk, DO
	812 N 22nd St, Blair, NE 68008-1128
	(402) 426-4611
	(402) 426-4642

Map and Direction

Physician's Profile

Full Name	Kevin C Sisk
Gender	Male
Speciality	Family Practice
Experience	12 Years
Location	812 N 22nd St, Blair, Nebraska
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:

Kevin C Sisk attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2012

NPI Data:

NPI Number: 1629330535
Provider Enumeration Date: 06/15/2012
Last Update Date: 06/17/2020

Medicare PECOS Information:

PECOS PAC ID: 3779716824
Enrollment ID: I20160728000154

Medical Identifiers

Medical identifiers for Kevin C Sisk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629330535	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2015015493 (Missouri)	Secondary
207Q00000X	Family Medicine	1178 (Nebraska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Community Hospital Mch & Health System	Blair, NE	Hospital
Good Shepherd Lutheran Home	Blair, NE	Nursing home
Crowell Memorial Home	Blair, NE	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Community Hospital Corporation	0749190775	19

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. Kevin C Sisk allows following entities to bill medicare on his behalf.

Entity Name	Memorial Community Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265408819 PECOS PAC ID: 0749190775 Enrollment ID: O20040202001065

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. Kevin C Sisk 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
Kevin C Sisk, DO 810 N 22nd St, Blair, NE 68008-1128 Ph: (402) 426-2182	Kevin C Sisk, DO 812 N 22nd St, Blair, NE 68008-1128 Ph: (402) 426-4611

Reviews and Comments

Family Medicine Doctors in Blair, NE

Sean C. Erickson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 812 N 22nd St, Blair, NE 68008 Phone: 402-426-4611 Fax: 402-426-4642
Johnnie K Simonson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 812 N 22nd St, Blair, NE 68008 Phone: 402-426-4611 Fax: 402-426-4642
Santosh Kumar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 810 N 22nd St, Blair, NE 68008 Phone: 402-426-2182
Amber Lynn Beckenhauer, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 407 S 19th St, Blair, NE 68008 Phone: 402-552-3222 Fax: 402-552-2172
Dr. Mark Edward Shirley, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 810 N 22nd St, Blair, NE 68008 Phone: 402-426-2182 Fax: 402-426-1190
Amanda Duxbury, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 812 N 22nd St, Blair, NE 68008 Phone: 402-426-4611 Fax: 402-426-4642

Kevin C Sisk, DO - Medicare Family Practice in Blair, NE