Dr Mary Ann Carissimo, DDS is a medicare enrolled "Dentist - General Practice" provider in Lisle, New York. Her current practice location is
3136 Route 11 North, Lisle, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 692-4987.
Dr Mary Ann Carissimo is licensed to practice in New York (license number 040267) 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 1497835250.
Healthcare Provider's Profile
Full Name | Dr Mary Ann Carissimo |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 3136 Route 11 North, Lisle, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497835250
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6608194881
- Enrollment ID: I20150420001404
Medical Identifiers
Medical identifiers for Dr Mary Ann Carissimo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497835250 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 040267 (New York) | Primary |
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. Dr Mary Ann Carissimo 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 |
Dr Mary Ann Carissimo, DDS Po Box 291, Whitney Point, NY 13862-0291 Ph: (607) 692-4987 | Dr Mary Ann Carissimo, DDS 3136 Route 11 North, Lisle, NY 13797 Ph: (607) 692-4987 |
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