Dr Brianna Alexis Eisaman, DO is a medicare enrolled "Family Medicine" physician in Lake Odessa, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Pennock Hospital and her current practice location is
4294 Laurel Dr, Lake Odessa, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 374-7660.
Dr Brianna Alexis Eisaman is licensed to practice in Michigan (license number 5101024914) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760973267.
Physician's Profile
| Full Name | Dr Brianna Alexis Eisaman |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 6 Years |
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| Location | 4294 Laurel Dr, Lake Odessa, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brianna Alexis Eisaman attended and graduated from Michigan State University College Of Osteopathic Medicine in 2018
NPI Data:
- NPI Number: 1760973267
- Provider Enumeration Date: 05/21/2018
- Last Update Date: 08/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426467119
- Enrollment ID: I20210510002231
Medical Identifiers
Medical identifiers for Dr Brianna Alexis Eisaman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760973267 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5101024914 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pennock Hospital | 4587551015 | 41 |
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. Dr Brianna Alexis Eisaman allows following entities to bill medicare on her behalf.
| Entity Name | Pennock Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518186295
PECOS PAC ID: 4587551015
Enrollment ID: O20040301000595 |
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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. Dr Brianna Alexis Eisaman 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 |
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Dr Brianna Alexis Eisaman, DO
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560
Ph: () - | Dr Brianna Alexis Eisaman, DO
4294 Laurel Dr,
Lake Odessa, MI 48849-8430
Ph: (616) 374-7660 |
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