Emily Marie Kisor, MD in Elkhart, IN

Emily Marie Kisor, MD is a medicare enrolled "Pediatrics" physician in Elkhart, Indiana. Her current practice location is 1627 E Bristol St, Elkhart, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 262-0313.

Emily Marie Kisor is licensed to practice in Indiana (license number 01076081) 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 1659614964.

Contact Information

	Emily Marie Kisor, MD
	1627 E Bristol St, Elkhart, IN 46514-3817
	(574) 262-0313
	Not Available

Map and Direction

Physician's Profile

Full Name	Emily Marie Kisor
Gender	Female
Speciality	Pediatrics
Location	1627 E Bristol St, Elkhart, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659614964
Provider Enumeration Date: 04/04/2013
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 2769772383
Enrollment ID: I20160609000914

Medical Identifiers

Medical identifiers for Emily Marie Kisor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659614964	NPI	-	NPPES
201354790	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01076081 (Indiana)	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. Emily Marie Kisor allows following entities to bill medicare on her behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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. Emily Marie Kisor 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
Emily Marie Kisor, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Emily Marie Kisor, MD 1627 E Bristol St, Elkhart, IN 46514-3817 Ph: (574) 262-0313

Reviews and Comments

Pediatrics Doctors in Elkhart, IN

Dr. Shahir Okhovat-ghahfarokhi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-389-4879
Christine Mamphey Dankwa, M.D., M.P.H Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 Fax: 514-970-3256
Sandra H. Morgan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163
Jody L Srof, FNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163
Jared Ray Dhaemers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163
Mary Alice M Reid, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163

Emily Marie Kisor, MD - Medicare Pediatrics in Elkhart, IN