Eliot M Nissenbaum, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Warsaw, Illinois. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1991 and has 33 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Blessing Hospital, Blessing Hospital and 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 | Cardiovascular Disease (cardiology) |
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| Experience | 33 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 New York College Of Osteo Medicine Of New York Institute Of Technology in 1991
NPI Data:
- NPI Number: 1326082454
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759275365
- Enrollment ID: I20050310000000
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Blessing Hospital | 3072422534 | 349 |
| Blessing Hospital | 3072422534 | 349 |
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. Eliot M Nissenbaum allows following entities to bill medicare on his behalf.
| Entity Name | Blessing Corporate Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245427608
PECOS PAC ID: 5991616138
Enrollment ID: O20040310000616 |
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| Entity Name | Blessing Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114471737
PECOS PAC ID: 3072422534
Enrollment ID: O20171221000766 |
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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. 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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