Dr Richard J Eisenhut, MD | |
2209 John R Wooden Dr, Martinsville, IN 46151-1840 | |
(765) 349-6939 | |
(765) 349-6727 |
Full Name | Dr Richard J Eisenhut |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2209 John R Wooden Dr, Martinsville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023036167 | NPI | - | NPPES |
01032777A | Other | IN | INDIANA LICENSE |
01032777B | Other | IN | CSR |
100331200 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01032777A (Indiana) | Secondary |
207R00000X | Internal Medicine | 01032777A (Indiana) | Primary |
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard J Eisenhut, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Dr Richard J Eisenhut, MD 2209 John R Wooden Dr, Martinsville, IN 46151-1840 Ph: (765) 349-6939 |
Dr. Hesham Khalifa Khalfan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2209 John R Wooden Dr, Martinsville, IN 46151 Phone: 765-349-9856 Fax: 765-349-6442 | |
Dr. Amanda Marie Burns, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2200 John R Wooden Dr, Martinsville, IN 46151 Phone: 317-988-0112 Fax: 317-988-5512 | |
Fnu Taneem Sultana, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2209 John R Wooden Dr, Martinsville, IN 46151 Phone: 765-342-8383 | |
Patrick Lomasney, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2209 John R Wooden Dr, Martinsville, IN 46151 Phone: 765-342-3364 Fax: 765-349-6442 |