Lance Nissley, DO is a medicare enrolled "Anesthesiology" physician in Fort Eisenhower, Georgia. He went to Lake Erie Col Of Osteo Med At Seton Hill Univ and graduated in 2018 and has 7 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Wellstar Medical Group Llc and his current practice location is
300 W Hospital Rd, Fort Eisenhower, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 787-5811.
Lance Nissley is licensed to practice in Pennsylvania (license number OS020413) 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 1164919676.
Physician's Profile
| Full Name | Lance Nissley |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 7 Years |
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| Location | 300 W Hospital Rd, Fort Eisenhower, Georgia |
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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. |
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Medical Education and Training:
- Lance Nissley attended and graduated from Lake Erie Col Of Osteo Med At Seton Hill Univ in 2018
NPI Data:
- NPI Number: 1164919676
- Provider Enumeration Date: 04/19/2018
- Last Update Date: 06/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092244319
- Enrollment ID: I20250130002561
Medical Identifiers
Medical identifiers for Lance Nissley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164919676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | OS020413 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wellstar Medical Group Llc | 6709065402 | 2734 |
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. Lance Nissley allows following entities to bill medicare on his behalf.
| Entity Name | Wellstar Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374 |
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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. Lance Nissley 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 |
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Lance Nissley, DO
300 W Hospital Rd,
Fort Eisenhower, GA 30905-5741
Ph: (706) 787-5811 | Lance Nissley, DO
300 W Hospital Rd,
Fort Eisenhower, GA 30905-5741
Ph: (706) 787-5811 |
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