Eliot M Nissenbaum, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Warsaw, Illinois. His current practice location is
1102 N County Road 700, Warsaw, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 256-4100.
Eliot M Nissenbaum is licensed to practice in Missouri (license number 2005000792) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1326082454.
Physician's Profile
| Full Name | Eliot M Nissenbaum |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1102 N County Road 700, Warsaw, Illinois |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Eliot M Nissenbaum attended and graduated from in
NPI Data:
- NPI Number: 1326082454
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Eliot M Nissenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326082454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036-135963 (Illinois) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 2005000792 (Missouri) | 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. Eliot M Nissenbaum 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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Eliot M Nissenbaum, DO
927 Broadway St,
Quincy, IL 62301-2719
Ph: (217) 224-6423 | Eliot M Nissenbaum, DO
1102 N County Road 700,
Warsaw, IL 62379-3011
Ph: (217) 256-4100 |
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