Chelsea Eisenberg, DO is a medicare enrolled "Family Medicine" physician in Perkins, Oklahoma. Her current practice location is
509 E Highway 33, Perkins, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 547-2473.
Chelsea Eisenberg is licensed to practice in Oklahoma (license number 7353) 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 1215559919.
Physician's Profile
| Full Name | Chelsea Eisenberg |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 509 E Highway 33, Perkins, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215559919
- Provider Enumeration Date: 05/15/2020
- Last Update Date: 10/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901253608
- Enrollment ID: I20231116002060
Medical Identifiers
Medical identifiers for Chelsea Eisenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215559919 | NPI | - | NPPES |
| 1743325 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 7353 (Oklahoma) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Chelsea Eisenberg allows following entities to bill medicare on her behalf.
| Entity Name | Iowa Tribe Of Oklahoma |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891943106
PECOS PAC ID: 4880675768
Enrollment ID: O20040526001237 |
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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. Chelsea Eisenberg 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 |
|---|
Chelsea Eisenberg, DO
13105 Cloverleaf Ln,
Oklahoma City, OK 73170-1126
Ph: () - | Chelsea Eisenberg, DO
509 E Highway 33,
Perkins, OK 74059-4129
Ph: (405) 547-2473 |
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