Kevin D Misischia, DO - Medicare Family Practice in Kingsport, TN

Kevin D Misischia, DO is a medicare enrolled "Family Medicine" physician in Kingsport, Tennessee. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Dominion Health And Fitness, Inc, State Of Franklin Healthcare Associates, Pllc and his current practice location is 444 Clinchfield St Ste 2800, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 230-2801.

Kevin D Misischia is licensed to practice in Tennessee (license number DO1254) 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 1356391098.

Contact Information

Kevin D Misischia, DO
444 Clinchfield St Ste 2800,
Kingsport, TN 37660-3858
(423) 230-2801
(423) 239-7750

Map and Direction




Physician's Profile

Full NameKevin D Misischia
GenderMale
SpecialityFamily Practice
Experience28 Years
Location444 Clinchfield St Ste 2800, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. 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 D Misischia attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1996
  NPI Data:
  • NPI Number: 1356391098
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 12/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4789767807
  • Enrollment ID: I20100303000056

Medical Identifiers

Medical identifiers for Kevin D Misischia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356391098NPI-NPPES
1337280OtherTNBLACK LUNG
3305853MedicaidTN
62158439133OtherTNJOHN DEERE
209176OtherTNUMWA
5607299MedicaidVA
384392OtherVABLUE CROSS BLUE SHIELD
CA4007OtherTNMEDICARE RAILROAD
4022997OtherTNBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO1254 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellmont Holston Valley Medical CenterKingsport, TNHospital
Indian Path Community HospitalKingsport, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dominion Health And Fitness, Inc327457090818
State Of Franklin Healthcare Associates, Pllc2466346291247

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 D Misischia allows following entities to bill medicare on his behalf.
Entity NameMountain Region Family Medicine P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467565804
PECOS PAC ID: 5890699961
Enrollment ID: O20031120000676
Entity NameState Of Franklin Healthcare Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063459410
PECOS PAC ID: 2466346291
Enrollment ID: O20040211001101

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 D Misischia 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 AddressPractice Location Address
Kevin D Misischia, DO
444 Clinchfield Street, Suite 201,
Kingsport, TN 37660-3606

Ph: (423) 230-2801
Kevin D Misischia, DO
444 Clinchfield St Ste 2800,
Kingsport, TN 37660-3858

Ph: (423) 230-2801

Reviews and Comments


Family Medicine Doctors in Kingsport, TN

Mary Axelrad, MD
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Practice Location: 4848 Fort Henry Dr, Kingsport, TN 37663
Phone: 423-239-5141    Fax: 423-239-4869
Douglas J. Rose, M.D.
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Practice Location: 102 E Ravine Rd, Kingsport, TN 37660
Phone: 423-245-9600    Fax: 423-245-9634
Dr. Chad Bates, M.D.
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Practice Location: 2033 Meadowview Lane, Suite 200 Holston Medical Group Pc, Kingsport, TN 37660
Phone: 423-857-2260    
Dr. Edward Monty Stirman, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660
Phone: 423-323-6200    Fax: 423-323-6593
Dr. Anthony Tin-lung Ng, D.O.
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Phone: 423-857-7000    
Jerry Miller, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660
Phone: 423-392-6200    
Ms. Lesley Ann Jones, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2012 Brookside Dr, Ste 6, Kingsport, TN 37660
Phone: 423-247-0462    Fax: 423-247-0465

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.