Mary S Kisswany, DO | |
1125 W Highway 30, Gonzales, LA 70737-5004 | |
(225) 621-2975 | |
Not Available |
Full Name | Mary S Kisswany |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 19 Years |
Location | 1125 W Highway 30, Gonzales, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356506166 | NPI | - | NPPES |
0172146 | Medicaid | NJ | |
P00829442 | Other | NJ | RR MEDICARE-TEANECK |
P00667653 | Other | NJ | RAILROAD MEDICARE |
48090-NON PAR | Other | NJ | UHP-PHYS ASSOC OF TEANECK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 25MB08436700 (New Jersey) | Secondary |
208M00000X | Hospitalist | 000246 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Raritan Bay Medical Center Perth Amboy Division | Perth amboy, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospitalist Physicians Of New Jersey Pa | 3476859927 | 136 |
Entity Name | Plover Inpatient Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134534688 PECOS PAC ID: 1355561663 Enrollment ID: O20141009001113 |
Entity Name | Hospitalist Physicians Of New Jersey Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588021851 PECOS PAC ID: 3476859927 Enrollment ID: O20160309000541 |
Entity Name | Capital Health Multispecialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083072342 PECOS PAC ID: 1850689894 Enrollment ID: O20161007000162 |
Entity Name | Inhospital Physicians Corp Of New Jersey, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336625425 PECOS PAC ID: 2264781780 Enrollment ID: O20180816002176 |
Mailing Address | Practice Location Address |
---|---|
Mary S Kisswany, DO 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0194 | Mary S Kisswany, DO 1125 W Highway 30, Gonzales, LA 70737-5004 Ph: (225) 621-2975 |
Dr. Trevor C. Richard, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 |