Kisa W Seymore, MD in Cedartown, GA - Medicare Family Practice

Kisa W Seymore, MD is a medicare enrolled "Dermatology" physician in Cedartown, Georgia. She went to East Tennessee State University Quillen College Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Skin Cancer And Cosmetic Dermatology Center Pc and her current practice location is 1025 N Main St, Cedartown, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 748-0076.

Kisa W Seymore is licensed to practice in Georgia (license number 4221) 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 1841200375.

Contact Information

	Kisa W Seymore, MD
	1025 N Main St, Cedartown, GA 30125-2036
	(770) 748-0076
	(770) 748-9323

Map and Direction

Physician's Profile

Full Name	Kisa W Seymore
Gender	Female
Speciality	Family Practice
Experience	20 Years
Location	1025 N Main St, Cedartown, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kisa W Seymore attended and graduated from East Tennessee State University Quillen College Of Medicine in 2004

NPI Data:

NPI Number: 1841200375
Provider Enumeration Date: 08/08/2006
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2163428707
Enrollment ID: I20120822000741

Medical Identifiers

Medical identifiers for Kisa W Seymore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841200375	NPI	-	NPPES
003125281A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4221 (Georgia)	Secondary
207N00000X	Dermatology	4221 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth Gordon	Calhoun, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Skin Cancer And Cosmetic Dermatology Center Pc	3375591209	21

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. Kisa W Seymore allows following entities to bill medicare on her behalf.

Entity Name	Skin Cancer & Cosmetic Dermatology Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376605394 PECOS PAC ID: 3375591209 Enrollment ID: O20050107000373

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. Kisa W Seymore 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
Kisa W Seymore, MD 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 Ph: (706) 509-3000	Kisa W Seymore, MD 1025 N Main St, Cedartown, GA 30125-2036 Ph: (770) 748-0076

Kisa W Seymore, MD - Medicare Family Practice in Cedartown, GA