Mary S Kisswany, DO - Medicare Internal Medicine in Butner, NC

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Mary S Kisswany, DO is a medicare enrolled "Internal Medicine" physician in Butner, North Carolina. Her current practice location is 1600 E C St, Butner, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 575-1890.

Mary S Kisswany is licensed to practice in North Carolina (license number 2024-00315) 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 1356506166.

Contact Information

Mary S Kisswany, DO
1600 E C St,
Butner, NC 27509-2530
(919) 575-1890
(919) 575-1637

Map and Direction




Physician's Profile

Full NameMary S Kisswany
GenderFemale
SpecialityInternal Medicine
Location1600 E C St, Butner, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356506166
  • Provider Enumeration Date: 07/21/2008
  • Last Update Date: 06/25/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7214003086
  • Enrollment ID: I20080902000057

Medical Identifiers

Medical identifiers for Mary S Kisswany such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356506166NPI-NPPES
0172146MedicaidNJ
P00829442OtherNJRR MEDICARE-TEANECK
P00667653OtherNJRAILROAD MEDICARE
48090-NON PAROtherNJUHP-PHYS ASSOC OF TEANECK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 000246 (Louisiana)Secondary
207R00000XInternal Medicine 2024-00315 (North Carolina)Primary
208M00000XHospitalist 25MB08436700 (New Jersey)Secondary

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. Mary S Kisswany allows following entities to bill medicare on her behalf.
Entity NameHospitalist Physicians Of New Jersey Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588021851
PECOS PAC ID: 3476859927
Enrollment ID: O20160309000541
Entity NameCapital Health Multispecialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083072342
PECOS PAC ID: 1850689894
Enrollment ID: O20161007000162
Entity NameInhospital Physicians Corp Of New Jersey, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336625425
PECOS PAC ID: 2264781780
Enrollment ID: O20180816002176

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. Mary S Kisswany 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
Mary S Kisswany, DO
1600 E C St,
Butner, NC 27509-2530

Ph: (919) 575-1890		Mary S Kisswany, DO
1600 E C St,
Butner, NC 27509-2530

Ph: (919) 575-1890

Reviews and Comments


Internal Medicine Doctors in Butner, NC

Dr. Mack Bonner, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Old Rte 75, Federal Medical Center,, Butner, NC 27509
Phone: 919-575-3900    
Dr. Robert Bryan Bomberg, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1003 12th St, Butner, NC 27509
Phone: 919-575-7302    
Dr. Anne Elizabeth Stephenson, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 300 Veazey Road, Central Regional Hospital, Butner, NC 27509
Phone: 919-764-2330    
Emad Ward, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: Old Highway 75, Butner, NC 27509
Phone: 919-575-3900    Fax: 910-295-5481
Dr. Charles Johnson, M. D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1003 12th St, Butner, NC 27509
Phone: 919-575-2532    
Dr. Mobolanle O Gbadamosi, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1600 E C St, Butner, NC 27509
Phone: 919-575-1890    Fax: 919-575-1637
Shema Ahmed, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 300 Veazey Dr, Butner, NC 27509
Phone: 919-764-7230    Fax: 919-764-7338

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.