Edward Ryan Kissam, AG-ACNP in Fort Sam Houston, TX

Edward Ryan Kissam, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Fort Sam Houston, Texas. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Transitional Care Physicians Pllc and his current practice location is 3551 Roger Brooke Dr Bldg 3600, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-8003.

Edward Ryan Kissam is licensed to practice in Texas (license number 1106762) 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 1194400473.

Contact Information

	Edward Ryan Kissam, AG-ACNP
	3551 Roger Brooke Dr Bldg 3600, Fort Sam Houston, TX 78234-4504
	(210) 916-8003
	Not Available

Map and Direction

Provider's Profile

Full Name	Edward Ryan Kissam
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	3551 Roger Brooke Dr Bldg 3600, Fort Sam Houston, Texas
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:

Edward Ryan Kissam graduated from nursing school in 2021

NPI Data:

NPI Number: 1194400473
Provider Enumeration Date: 06/15/2023
Last Update Date: 06/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1557896313
Enrollment ID: I20241203001896

Medical Identifiers

Medical identifiers for Edward Ryan Kissam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194400473	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1106762 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Transitional Care Physicians Pllc	3779996590	43

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. Edward Ryan Kissam allows following entities to bill medicare on his behalf.

Entity Name	Transitional Care Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609463405 PECOS PAC ID: 3779996590 Enrollment ID: O20210208001430

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. Edward Ryan Kissam 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
Edward Ryan Kissam, AG-ACNP 3551 Roger Brooke Dr Bldg 3600, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-8003	Edward Ryan Kissam, AG-ACNP 3551 Roger Brooke Dr Bldg 3600, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-8003

Reviews and Comments

Nurse Practitioner Nurses in Fort Sam Houston, TX

Sheri Lynn Sowa, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3160
Anastasiya Zemtsova, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-7500
Cathy Darlene Cotton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Mche-qd (credentials), Fort Sam Houston, TX 78234 Phone: 210-916-2460
Jessa Perry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Leanne Putnam, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Hannah Morales, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3000
Allen Ward Magnone, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4141

Edward Ryan Kissam, AG-ACNP - Medicare Nurse Practitioner in Fort Sam Houston, TX