MARY TISSERAND (M.D.) – Procedural Dermatology Physician, NPI 1801886924

MARY TISSERAND (M.D.) is a healthcare provider. based in Evansville, Indiana. specializing in Procedural Dermatology Physician. They hold the professional credentials M.D.. They hold a License No. 01037184 (IN). The NPI Number for MARY TISSERAND (M.D.) is 1801886924

Main info

Female
Sole Proprietor
41 Years Of Experience
Name
MARY TISSERAND (M.D.)
NPI
1801886924
Phone
(812) 476-1379
Address
3700 BELLEMEADE AVE
Enumeration Date
28 October 2005
Last Update Date
17 February 2015

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
7911187760
Professional Enrollment ID
I20110210000659
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARY TISSERAND (M.D.)

  • 3700, Bellemeade Avenue, Evansville, Vanderburgh County, Indiana, 47714, United States

    SUITE 200

    EVANSVILLE, IN 477140102

    Phone: (812) 476-1379

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47714)

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Provider's Procedures

MARY TISSERAND (M.D.) performs procedures in Procedural Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYIN11101Biopsy of each additional growth of skin and/or tissue1212
DERMATOLOGYIN17003Destruction of 2-14 skin growths816128

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Frequently asked questions

What federal number belongs to MARY TISSERAND (M.D.)?
The federal identifier for MARY TISSERAND (M.D.) is NPI 1801886924.
Is MARY TISSERAND (M.D.)'s NPI currently valid?
The extract we use shows MARY TISSERAND (M.D.) as active.
What field does MARY TISSERAND (M.D.) work in?
You can think of MARY TISSERAND (M.D.) as practicing within Procedural Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does MARY TISSERAND (M.D.) practice in Indiana?
You will see Evansville, Indiana on file for MARY TISSERAND (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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