Charles Nicholas Eisenhauer Iv, MD in Memphis, TN

Charles Nicholas Eisenhauer Iv, MD is a medicare enrolled "Surgery" physician in Memphis, Tennessee. He went to University Of Rochester School Of Medicine And Dentistry and graduated in 2009 and has 15 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Avera Marshall and his current practice location is 6029 Walnut Grove Rd Ste 404, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 726-1056.

Charles Nicholas Eisenhauer Iv is licensed to practice in Minnesota (license number 71735) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275775587.

Contact Information

	Charles Nicholas Eisenhauer Iv, MD
	6029 Walnut Grove Rd Ste 404, Memphis, TN 38120-2112
	(901) 726-1056
	Not Available

Map and Direction

Physician's Profile

Full Name	Charles Nicholas Eisenhauer Iv
Gender	Male
Speciality	General Surgery
Experience	15 Years
Location	6029 Walnut Grove Rd Ste 404, Memphis, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles Nicholas Eisenhauer Iv attended and graduated from University Of Rochester School Of Medicine And Dentistry in 2009

NPI Data:

NPI Number: 1275775587
Provider Enumeration Date: 04/01/2009
Last Update Date: 07/05/2022

Medicare PECOS Information:

PECOS PAC ID: 7214179282
Enrollment ID: I20220719000460

Medical Identifiers

Medical identifiers for Charles Nicholas Eisenhauer Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275775587	NPI	-	NPPES
57079	Other	TN	TN STATE LICENSE
48491	Other	KY	KY STATE LICENSE
0148667	Medicaid	OH
7100133120	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	P (Kentucky)	Secondary
208600000X	Surgery	71735 (Minnesota)	Primary
208600000X	Surgery	57079 (Tennessee)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Avera Marshall Regional Medical Ctr	Marshall, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Avera Marshall	5799695227	78

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. Charles Nicholas Eisenhauer Iv allows following entities to bill medicare on his behalf.

Entity Name	Avera Marshall
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219

Entity Name	Avera Marshall
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20091209000435

Entity Name	Rural Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215317375 PECOS PAC ID: 3476447541 Enrollment ID: O20150710000034

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. Charles Nicholas Eisenhauer Iv 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
Charles Nicholas Eisenhauer Iv, MD 300 S Bruce St, Marshall, MN 56258-1934 Ph: (507) 537-9165	Charles Nicholas Eisenhauer Iv, MD 6029 Walnut Grove Rd Ste 404, Memphis, TN 38120-2112 Ph: (901) 726-1056

Reviews and Comments

Surgery Doctors in Memphis, TN

Leonard Harvey Hines, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 821-b, Memphis, TN 38119 Phone: 901-726-1056 Fax: 901-726-5867
Dr. Robert D Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Phone: 901-866-8525
William Leslie Hickerson, MD Surgery Medicare: Medicare Enrolled Practice Location: 890 Madison Ave, Suite Tg032, Memphis, TN 38103 Phone: 901-448-2579 Fax: 901-448-2602
Dr. Albert Joseph Grobmyer Iii, Surgery Medicare: Not Enrolled in Medicare Practice Location: 3175 Lenox Park Blvd, Suite 309, Memphis, TN 38115 Phone: 901-273-2600 Fax: 901-761-3786
Dr. Dan Huff Shell Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 200, Memphis, TN 38119 Phone: 901-761-4844 Fax: 901-761-6929
Randall William Franz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104 Phone: 901-272-6018 Fax: 901-201-4203
Dr. Christine T Mroz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6005 Park, #700, Memphis, TN 38119 Phone: 901-527-3391 Fax: 901-578-3969

Charles Nicholas Eisenhauer Iv, MD - Medicare General Surgery in Memphis, TN