Mrs Kerry Anne Nissen, OT - Medicare Occupational Therapist in York, SC

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Mrs Kerry Anne Nissen, OT is a medicare enrolled "Occupational Therapist" provider in York, South Carolina. Her current practice location is 2049 Rocky Stream Rd, York, South Carolina. You can reach out to her office (for appointments etc.) via phone at (615) 456-5391.

Mrs Kerry Anne Nissen is licensed to practice in South Carolina (license number 3641) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730236985.

Contact Information

Mrs Kerry Anne Nissen, OT
2049 Rocky Stream Rd,
York, SC 29745-6611
(615) 456-5391
(888) 770-7861

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kerry Anne Nissen
GenderFemale
SpecialityOccupational Therapist
Location2049 Rocky Stream Rd, York, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730236985
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 11/17/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0042491136
  • Enrollment ID: I20110223000056

Medical Identifiers

Medical identifiers for Mrs Kerry Anne Nissen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730236985NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 3641 (South Carolina)Primary

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. Mrs Kerry Anne Nissen allows following entities to bill medicare on her behalf.
Provider NameCollective Therapy Corp
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1396380911
PECOS PAC ID: 0143651802
Enrollment ID: O20220630002285

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. Mrs Kerry Anne Nissen 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
Mrs Kerry Anne Nissen, OT
2049 Rocky Stream Rd,
York, SC 29745-6611

Ph: (615) 456-5391		Mrs Kerry Anne Nissen, OT
2049 Rocky Stream Rd,
York, SC 29745-6611

Ph: (615) 456-5391

Reviews and Comments


Occupational Therapist in York, SC

Rachel Fite, Llc
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 291 Rippling Creek Dr, York, SC 29745
Phone: 803-493-8088    
Nicole Moore,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3045 Feathers Dr, York, SC 29745
Phone: 248-207-0797    

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.