Scott Kissner, PT is a medicare enrolled "Physical Therapist" provider in Rockford, Minnesota. His current practice location is
5034 Greenwood Ave, Rockford, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 290-6688.
Scott Kissner is licensed to practice in Minnesota (license number 6620) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497472229.
Healthcare Provider's Profile
| Full Name | Scott Kissner |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 5034 Greenwood Ave, Rockford, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497472229
- Provider Enumeration Date: 10/24/2022
- Last Update Date: 10/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658893128
- Enrollment ID: I20250313003865
Medical Identifiers
Medical identifiers for Scott Kissner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497472229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 6620 (Minnesota) | 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. Scott Kissner allows following entities to bill medicare on his behalf.
| Provider Name | Optage Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1801517230
PECOS PAC ID: 2264619345
Enrollment ID: O20221206001945 |
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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. Scott Kissner 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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Scott Kissner, PT
5034 Greenwood Ave,
Rockford, MN 55373-4580
Ph: (952) 290-6688 | Scott Kissner, PT
5034 Greenwood Ave,
Rockford, MN 55373-4580
Ph: (952) 290-6688 |
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