| Spencer Kissel, | |
|
1284 State Route 160, Gallipolis, OH 45631 | |
| (912) 409-8533 | |
| Not Available |
| Full Name | Spencer Kissel |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1284 State Route 160, Gallipolis, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013499029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN88700-PMHNP-BC (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesis Medical Center-davenport | Davenport, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sbh-davenport Llc | 1759702756 | 6 |
| Genesis Health System | 6103829338 | 203 |
| Entity Name | Hillcrest Family Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023232824 PECOS PAC ID: 1557274743 Enrollment ID: O20031112000709 |
| Entity Name | Genesis Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528616901 PECOS PAC ID: 6103829338 Enrollment ID: O20191031002622 |
| Entity Name | Sbh-davenport Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023817475 PECOS PAC ID: 1759702756 Enrollment ID: O20210107001935 |
| Entity Name | Medpsych Inc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962828137 PECOS PAC ID: 2264655877 Enrollment ID: O20240516003103 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Kissel, 1401 W Central Park Ave, Davenport, IA 52804-1707 Ph: (563) 421-1785 | Spencer Kissel, 1284 State Route 160, Gallipolis, OH 45631 Ph: (912) 409-8533 |
Paulette L Flinner, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 995 Jackson Pike, Gallipolis, OH 45631 Phone: 740-578-4824 | |
Kayla Shato, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 | |
Kerry Dill, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5000 | |
Angela Faith Arnold, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5000 | |
Megan Grace Lunsford, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5131 Fax: 740-446-5486 | |
Joanna L Miller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 |