Dr Stephan F Eselgroth, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Hixson, Tennessee. His current practice location is
1013 Executive Dr Ste 102, Hixson, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 316-3614.
Dr Stephan F Eselgroth is licensed to practice in Tennessee (license number MD0000036511) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912902099.
Physician's Profile
Full Name | Dr Stephan F Eselgroth |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 1013 Executive Dr Ste 102, Hixson, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912902099
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 05/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 3678470234
- Enrollment ID: I20031212000844
Medical Identifiers
Medical identifiers for Dr Stephan F Eselgroth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912902099 | NPI | - | NPPES |
MD0000036511 | Other | TN | TN MEDICAL LICENSE NUMBER |
4051823 | Other | TN | BCBS ID NUMBER |
36659 | Other | KY | KY MEDICAL LICENSE NUMBER |
250014020 | Other | TN | RR MEDICARE |
3879076 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 36659 (Kentucky) | Secondary |
204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | MD0000036511 (Tennessee) | Secondary |
208100000X | Physical Medicine & Rehabilitation | MD0000036511 (Tennessee) | Primary |
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 Stephan F Eselgroth 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 |
Dr Stephan F Eselgroth, MD 302 Northgate Mall Dr., # 597, Hixson, TN 37343 Ph: (423) 316-3614 | Dr Stephan F Eselgroth, MD 1013 Executive Dr Ste 102, Hixson, TN 37343-7913 Ph: (423) 316-3614 |
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