Charles Nicholas Eisenhauer Iv, MD - Medicare General Surgery 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 NameCharles Nicholas Eisenhauer Iv
GenderMale
SpecialityGeneral Surgery
Experience15 Years
Location6029 Walnut Grove Rd Ste 404, Memphis, Tennessee
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1275775587NPI-NPPES
57079OtherTNTN STATE LICENSE
48491OtherKYKY STATE LICENSE
0148667MedicaidOH
7100133120MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery P (Kentucky)Secondary
208600000XSurgery 71735 (Minnesota)Primary
208600000XSurgery 57079 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera Marshall Regional Medical CtrMarshall, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avera Marshall579969522778

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 NameAvera Marshall
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568401016
PECOS PAC ID: 5799695227
Enrollment ID: O20031106000219
Entity NameAvera Marshall
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1568401016
PECOS PAC ID: 5799695227
Enrollment ID: O20091209000435
Entity NameRural Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

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Dr. Christine T Mroz, MD
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Miriam Wing San Tsao, MD
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Phone: 901-516-0792    Fax: 901-266-6415

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.